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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorRACHED, Roberto
dc.contributor.authorHSING, Wu T.
dc.contributor.authorRACHED, Chennyfer
dc.identifier.citationREVISTA DA ASSOCIACAO MEDICA BRASILEIRA, v.65, n.7, p.982-987, 2019
dc.description.abstractA clinical, placebo-controlled, randomized, double-blind trial with two parallel groups. OBJECTIVE: to evaluate the efficacy of ropivacaine injection in each belly of the anterior and middle scalene muscles, guided by ultrasonography, in the treatment of Nonspecific Thoracic Outlet Syndrome (TOS) compared to cutaneous pressure. METHODS: 38 patients, 19 in the control group (skin pressure in each belly of the anterior and middle scalene muscles) and 19 in the intervention group (ropivacaine). Subjects with a diagnosis of Nonspecific Thoracic Outlet Syndrome, pain in upper limbs and/or neck, with no radiculopathy or neurological involvement of the limb affected due to compressive or encephalic root causes were included. The primary endpoint was functionality, evaluated by the Disabilities of the Arm, Shoulder, and Hand - DASH scale validated for use in Brasil. The time of the evaluations were T0 = before the intervention; T1= immediately after; T2 = 1 week; T3 =4 weeks; T4 = 12 weeks; for T1, the DASH scale was not applied. RESULTS: Concerning the DASH scale, it is possible to affirm with statistical significance (p> 0.05) that the intervention group presented an improvement of functionality at four weeks, which was maintained by the 12th week. CONCLUSION: In practical terms, we concluded that a 0.375% injection of ropivacaine at doses of 2.5 ml in each belly of the anterior and middle scalene muscles, guided by ultrasonography, in the treatment of Nonspecific Thoracic Outlet Syndrome helps to improve function.eng
dc.relation.ispartofRevista da Associacao Medica Brasileira
dc.subjectThoracic Outlet Syndromeeng
dc.subjectMyofascial Pain Syndromeseng
dc.subjectUltrasonography, Interventionaleng
dc.subject.otherbotulinum toxineng
dc.titleEvaluation of the efficacy of ropivacaine injection in the anterior and middle scalene muscles guided by ultrasonography in the treatment of Thoracic Outlet Syndromeeng
dc.rights.holderCopyright ASSOC MEDICA BRASILEIRAeng
dc.subject.wosMedicine, General & Internaleng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng, Roberto:Inst Med Fis & Reabilitacao IMREA HC FMUSP, Dept Fisiatria, Sao Paulo, Brazil, Chennyfer:Univ Nove Julho, Programa Mestrado Profiss Gestao Saude, Sao Paulo, Brazil
hcfmusp.publisher.citySAO PAULOeng
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