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Titre : | Comparison of the Effects of Vapocoolant Spray and Topical Anesthetic Cream on Pain During Intraarticular Injection of the Shoulder: A Randomized Double-Blind Controlled Trial (2020) |
Auteurs : | Young-Eun Moon ; Sang-Hyun Kim ; Hyun Seok ; Lee, SeungYeol |
Type de document : | Article : Périodique |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 10, 2020) |
Article en page(s) : | p. 1689-1695 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.04.021 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Anesthesique local ; Anesthesiques ; Injections articulaires ; Perception de la douleur ; Réadaptation |
Résumé : |
Objective
This study was performed to compare the effects of a vapocoolant spray and a eutectic mixture of local anesthetics (EMLA) cream on reducing pain during intra-articular (IA) injection of the shoulder. Design Double-blind randomized placebo-controlled clinical trial. Setting University hospital. Participants Patients (N=63) who underwent IA injection of the shoulder joint were randomized into the spray group, EMLA group, or placebo group. Intervention Placebo cream+vapocoolant spray (spray group), EMLA cream+placebo spray (EMLA group), or placebo cream+placebo spray (placebo group) before IA injection. Main Outcome Measures A 100-mm visual analog scale (VAS) for injection pain and 5-point Likert scales for participant satisfaction and preference for repeated use were administered immediately after IA injection. Results The VAS scores for pain during IA injection were 30.0 (95% CI, 19.7-41.2) in the spray group, 50.0 (95% CI, 37.7-63.0) in the EMLA group, and 53.8 (95% CI, 41.6-65.0) in the placebo group (F=6.403, P<.01 the spray group showed significantly better likert scale scores than placebo for participant satisfaction and preference repeated use> Conclusions Vapocoolant spray was effective in reducing pain during IA injection of the shoulder. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320302884 |