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Completed

NCT Number: NCT02149849

Surgical Positioning of the Arm During Thoracic Surgery -Effect on Shoulder Pain After Surgery?

Up to 85% experience shoulder pain after thoracic surgery, especially on the same side as surgery are performed. Referred phrenic nerve pain is probably one cause of ipsilateral shoulder pain (ISP), and positioning of the arm during surgery another. Studies indicates that ISP can be caused by the positioning of the patient during surgery due to muscle -and ligament strain. Can a change in the surgical positioning (less press and stretch) of the ipsilateral arm effect the shoulder pain after thoracic surgery?

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Key information

Conditions

Lung Cancer Lung Diseases Lung Neoplasms Neoplasms Neoplasms by Site Respiratory Tract Diseases Respiratory Tract Neoplasms Thoracic Neoplasms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Oslo University Hospital

Oslo, Norway

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Men and women;18 years and older
  • Thoracotomy for lung cancer
  • Video assisted thoracic surgery for lung cancer.

Exclusion criteria

  • Received treatment for shoulder pain
  • Use pain medication on regular basis
  • Under 18 year
  • Length of stay in ICU more than 24 hours after surgery
  • Does not understand the native language

Treatment and study plan

Modified lateral positioning.

Procedure

Right before surgery, the patient are posistioned in lateral position with arm elevated (not more than 90 degree from torso). In the intervention, the arm will be lowered and placed in towards the torso for patients enrolled in the experimantal arm.

Primary outcomes

  1. Postoperative shoulder pain after lung surgery.

    Time frame: 3 months

    Using visual analog scale for assesing pain in the shoulder (Scale from 0-10). Mesauring times: VAS pain related to the shoulder before surgery, VAS pain shoulder at day 1 and 3 after surgery. Further will Oslo University Hospital scheme for registration of pain for location and characteristic also be used.

Secondary outcomes

  1. Pain medication

    Time frame: 3 months

    All extra pain medication patient use after surgery until day 4, type and dose, will be mesaured.

  2. White blood cell

    Time frame: 3 months

    Mesaured before surgery, and at day 1 and 3 after surgery.

  3. C reactive protein

    Time frame: 3 months

    Measured before surgery, and at day 1 and 3 after surgery.

Sponsors and collaborators

Lead sponsor

Oslo University Hospital

Other

Registry information

Official study title

Lateral Surgical Positioning for Thoracic Surgery -Effect on Ipsilateral Shoulder Pain?

Important dates

Study start
2014
Primary completion
2015
Study completion
2015
First posted
May 29, 2014
Registry last updated
Jan 30, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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