BLOQUEO DEL NERVIO SUPRAESCAPULAR E HIDRODILATACIÓN EN CAPSULITIS ADHESIVA DEL HOMBRO
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Rev. Méd. La Paz
Abstract
La capsulítis adhesiva se define como la pérdida progresiva de la movilidad pasiva y activa del hombro y se acompaña de dolor difuso que predomina en la región anterolateral del hombro. La Hidrodilatación es el procedimiento de infiltración de solución fisiológica más lidocaína para la dilatación de la capsula articular. Bloqueo del nervio supraescapular como finalidad disminuir la omalgia durante la hidrodilatación. Se realizó un estudio cuasiexperimental, longitudinal, analítico de tipo prospectivo en 28 hombres y mujeres entre 36 y 72 años durante el periodo de Junio 2017 a Abril 2018 en el Centro Medico de Rehabilitación Integral Geriatría y Gerontología (CEMERINGG); se realizó la hidrodilatación con 15 cc de solución fisiológica más lidocaína al 2 % sin epinefrina , además de realizar el bloqueo del nervio supraescapular (BNSE) mediante técnica de Dangoisse; se aplicó el test para funcionalidad del Hombro de Constant Murley y de la escala visual análoga del dolor (EVA) al inicio, a las dos semanas y al mes . A todos los pacientes se hizo un entrenamiento básico acerca de los ejercicios de Codman para realizarlos en domicilio. Según el test de Constant Murley hubo una mejoría del 62,3 a las dos semanas y de 71,3 al mes de realizar los procedimientos invasivos; la EVA mejoro de 7,6 al inicio a 3,3 al mes. Existe un intervalo de confianza de 0,05.
Adhesive capsulitis is defined as the progressive loss of passive and active mobility of the shoulder and is accompanied by diffuse pain that predominates in the anterolateral region of the shoulder. Hydrodylation is the procedure of infiltration of physiological solution plus lidocaine for the dilation of the joint capsule. Blockade of the suprascapular nerve as a purpose to decrease the omalgia during hydrodylation. A quasi-experimental, longitudinal, analytical, prospective study was carried out in 28 men and women between 36 and 72 years of age during June 2017 to April 2018 at the Geriatrics and Gerontology Integral Rehabilitation Medical Center (CEMERINGG); Hydrodilation was performed with 15 cc of physiological solution plus 2% lidocaine without epinephrine, in addition of performing suprascapular nerve block (BNSE) using the Dangoisse technique; the test for functionality of the shoulder of Constant Murley and the visual analog pain scale (EVA) was applied at the beginning, at two weeks and at one month. According to the Constant Murley test there was an improvement of 62.3 at two weeks and 71.3 a month to perform the invasive procedures; the EVA improved from 7.6 at the start to 3.3 a month. There is a confidence interval of 0.05.
Adhesive capsulitis is defined as the progressive loss of passive and active mobility of the shoulder and is accompanied by diffuse pain that predominates in the anterolateral region of the shoulder. Hydrodylation is the procedure of infiltration of physiological solution plus lidocaine for the dilation of the joint capsule. Blockade of the suprascapular nerve as a purpose to decrease the omalgia during hydrodylation. A quasi-experimental, longitudinal, analytical, prospective study was carried out in 28 men and women between 36 and 72 years of age during June 2017 to April 2018 at the Geriatrics and Gerontology Integral Rehabilitation Medical Center (CEMERINGG); Hydrodilation was performed with 15 cc of physiological solution plus 2% lidocaine without epinephrine, in addition of performing suprascapular nerve block (BNSE) using the Dangoisse technique; the test for functionality of the shoulder of Constant Murley and the visual analog pain scale (EVA) was applied at the beginning, at two weeks and at one month. According to the Constant Murley test there was an improvement of 62.3 at two weeks and 71.3 a month to perform the invasive procedures; the EVA improved from 7.6 at the start to 3.3 a month. There is a confidence interval of 0.05.
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Vol. 25, No. 2