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Trial registered on ANZCTR
Registration number
ACTRN12609000621213
Ethics application status
Approved
Date submitted
22/07/2009
Date registered
27/07/2009
Date last updated
11/07/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Does Nerve Block Reduce Shoulder Pain Following Stroke?
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Scientific title
Does Suprascapular Nerve Block Reduce Shoulder Pain Following Stroke: A single-blind randomised controlled trial with measured outcome assessment.
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Secondary ID [1]
295510
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
N/A
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stroke
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Condition category
Condition code
Stroke
239584
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0
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Haemorrhagic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention group will receive injection into the arm of suprascapular nerve blocking (using depo-medrol 40mg and 0.5% bupivivocaine hydrochloride).
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Intervention code [1]
236946
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Treatment: Drugs
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Comparator / control treatment
The control group will receive 5ml normal saline infiltrated subcutaneously after the 2ml subcutaneous 1% lidocaine infiltration.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Visual Analogue Scale (VAS) to assess for shoulder pain.
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Assessment method [1]
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Timepoint [1]
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Baseline, 1, 4, 12 weeks following injection.
Change in Visual Analogue Scale of pain in comparison to baseline
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Secondary outcome [1]
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Croft Disability Questionnarie
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Assessment method [1]
244834
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Timepoint [1]
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Baseline 1, 4, 12 weeks following injection.
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Secondary outcome [2]
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Modified Rankin Scale - Functional disability associated with shoulder pain
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Assessment method [2]
244835
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Timepoint [2]
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Baseline, 1, 4, 12 weeks following injection.
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Secondary outcome [3]
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Euroquol Questionnaire - Quality of life
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Assessment method [3]
244912
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Timepoint [3]
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Baseline, 1, 4 & 12 weeks following injection.
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Eligibility
Key inclusion criteria
Inclusion criteria will be all willing patients aged over 18 years and able to give consent with a diagnosis of acute stroke with the previous 12 months and onset of hemiplegic shoulder pain post stroke with a visual analogue scale score of >30mm (100mm scale)
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Cognitive deficit that preclude patients
from reliably using subjective outcome measures scales - Mini-Mental State Examination (MMSE) < 23.
Language deficits (inability to follow 2-
stage command) or limited English language that preclude patients from reliably using subjective outcome measures scales
Allergy to proposed injection agents (depo-medrol 40mg and 0.5% bupivocaine hydrocholoride)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Following consent and baseline measures particpants will be randomized to receive suprascapular nerve block or placebo injection. Allocation will be managed by a pharmacist external to the project.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation - computer generated by a software program
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
11/06/2009
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Actual
11/06/2009
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Date of last participant enrolment
Anticipated
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Actual
9/02/2010
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Date of last data collection
Anticipated
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Actual
24/07/2012
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Sample size
Target
66
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Accrual to date
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Final
64
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Flinders University
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Address [1]
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Flinders Drive, Bedford Park, SA 5043
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Maria Crotty
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Address
Repartriation General Hospital
Daws Road, Daw Park, SA, 5041
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
236868
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Country [1]
236868
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
239450
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Queen Elizabeth Hospital Research and Ethics Committee
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Ethics committee address [1]
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28 Woodville Road, Woodville South, SA, 5011
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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23/03/2009
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Approval date [1]
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21/04/2009
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Ethics approval number [1]
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2009031
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Ethics committee name [2]
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Royal Adelaide Hospital Research Ethics Committee
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Ethics committee address [2]
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North Terrace, Adelaide, SA, 5000
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Ethics committee country [2]
239451
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Australia
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Date submitted for ethics approval [2]
239451
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19/03/2009
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Approval date [2]
239451
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07/05/2009
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Ethics approval number [2]
239451
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090325
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Ethics committee name [3]
239452
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Repatriation General Hospital Human Research and Ethics Committee
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Ethics committee address [3]
239452
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Daws Road, Daw Park, SA, 5941
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Ethics committee country [3]
239452
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Australia
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Date submitted for ethics approval [3]
239452
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18/03/2009
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Approval date [3]
239452
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27/04/2009
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Ethics approval number [3]
239452
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9/09/
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Ethics committee name [4]
239459
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Flinders Clinical Research Ethics Committee
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Ethics committee address [4]
239459
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Flinders Medical Centre Bedford Park, SA, 5042
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Ethics committee country [4]
239459
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Australia
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Date submitted for ethics approval [4]
239459
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03/03/2009
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Approval date [4]
239459
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07/04/2009
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Ethics approval number [4]
239459
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61/09
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Summary
Brief summary
Shoulder pain is a common and debilitating symptom for a large number of people following a stroke. The cause of shoulder pain is usually related to several factors, including trauma, inflammation and positioning. In cases when shoulder pain is unable to be prevented, current treatment options include arm supports, physiotherapy techniques, and simple analgesic medication. It is commonly observed that shoulder pain persists or is inadequately controlled by these interventions. This research aims to study the effect of an injection that numbs the nerve (Suprascapular Nerve) that supplies pain fibres to the shoulder. The technique has previously been proven safe and effective in the treatment of shoulder pain associated with rheumatoid arthritis and degenerative shoulder conditions.
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Trial website
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Trial related presentations / publications
Adey-Wakeling Z, Crotty M, Liu E, Shanahan M. Suprascapular Nerve Block for Hemiplegic Shoulder Pain Post Stroke: Subgroup Analysis of Pain Response . Jacobs Journal of Physical Medicine Rehabilitation 2015;1(2):009 22/08/2013 Adey-Wakeling Z, Crotty M, Shanahan EM. Suprascapular nerve block for shoulder pain in the first year after stroke: A randomized controlled trial. First published online: 22 August 2013. DOI: 10.1161/STROKEHA.113.00247 Z. Adey-Wakeling, M. Crotty, EM. Shanahan. Suprascapular nerve block for shoulder pain in the first year after stroke: a randomised controlled trial ACR, San Diego, Oct 2013 Adey-Wakeling Z, Crotty M, Shanahan EM. Suprascapular nerve block for shoulder pain in the first year after stroke. Australasian Faculty of Rehabilitation Medicine Annual Scientific Meeting, held from 17-20 September 2013 in Sydney, Australia 31/07/2013 Adey-Wakeling Z, Crotty M, Shanahan EM. Suprascapular nerve block for shoulder pain in the first year after stroke. 24st Annual Scientific Meeting of Stroke Society of Australia, held from 31 July-2 August 2013 in Darwin, Australia
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Public notes
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Contacts
Principal investigator
Name
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Prof Maria Crotty
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Address
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Department of Rehabilitation, Aged & Extended Care, Repatriation General Hospital, Daws Road, Daw Park SA 5041
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Country
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Australia
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Phone
29904
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+61 8 8275 1019
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Dr Zoe Adey Allen
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Address
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Department of Rehabilitation & Aged Care
Repatriation General Hospital
Daws Road, Daw Park, SA 5041
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Country
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Australia
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Phone
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+61 8 8276 9666
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Fax
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+61 8 8275 1130
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Zoe Adey Allen
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Address
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Department of Rehabilitation & Aged Care
Repatriation General Hospital
Daws Road, Daw Park, SA 5041
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Country
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Australia
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Phone
4079
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+61 8 8276 9666
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Fax
4079
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+61 8 8275 1130
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Email
4079
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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