Abstract:
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 the placebo group for participant satisfaction (P=.003) and preference for repeated use (P<.001). CONCLUSIONS:Vapocoolant spray was effective in reducing pain during IA injection of the shoulder.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Moon YE,Kim SH,Seok H,Lee SYdoi
10.1016/j.apmr.2020.04.021subject
Has Abstractpub_date
2020-10-01 00:00:00pages
1689-1695issue
10eissn
0003-9993issn
1532-821Xpii
S0003-9993(20)30288-4journal_volume
101pub_type
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journal_title:Archives of physical medicine and rehabilitation
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