Ultrasound Guided Adductor Canal Block Versus Femoral Nerve Block for Quadriceps Strength and Fall-risk

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Jeff Gadsden, St. Luke's-Roosevelt Hospital Center
ClinicalTrials.gov Identifier:
NCT01655277
First received: July 30, 2012
Last updated: NA
Last verified: July 2012
History: No changes posted

July 30, 2012
July 30, 2012
February 2012
June 2012   (final data collection date for primary outcome measure)
Percent of maximum voluntary isometric contraction (MVIC) of knee extension preserved at 30 mins after either an ACB or FNB [ Time Frame: At 30 minutes ] [ Designated as safety issue: Yes ]
Same as current
No Changes Posted
  • Percent of maximum voluntary isometric contraction (MVIC) of knee extension preserved at 60 mins after either an ACB or FNB [ Time Frame: At 60 minutes ] [ Designated as safety issue: Yes ]
  • Percent of maximum voluntary isometric contraction (MVIC) of hip adduction preserved at 30 mins after either an ACB or FNB [ Time Frame: At 30 minutes ] [ Designated as safety issue: Yes ]
  • Percent of maximum voluntary isometric contraction (MVIC) of hip adduction preserved at 60 mins after either an ACB or FNB [ Time Frame: At 60 minutes ] [ Designated as safety issue: Yes ]
  • Assessment of fall risk with the Berg Balance Scale (BBS) at 30 minutes after the first nerve block. [ Time Frame: At 30 minutes ] [ Designated as safety issue: Yes ]
Same as current
 
 
 
Ultrasound Guided Adductor Canal Block Versus Femoral Nerve Block for Quadriceps Strength and Fall-risk
The Effects of Ultrasound Guided Adductor Canal Block Versus Femoral Nerve Block on Quadriceps Strength and Fall-risk: a Blinded Randomized Trial of Volunteers

Our objective was to determine if an ultrasound guided ACB can preserve quadriceps strength, thus minimizing weakness of knee extension compared with ultrasound guided femoral nerve block. Our primary outcome was the percent of maximum voluntary isometric contraction (MVIC) of knee extension preserved at 30 mins after either an ACB or FNB. Secondary outcomes included MVIC of knee extension at 60 min, hip adduction at 30 and 60 mins, and assessment of fall risk with the Berg Balance Scale (BBS) at 30 minutes.

 
Interventional
Phase 4
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
  • Quadriceps Muscle Weakness
  • Adductor Muscle Weakness
  • Fall Risk
  • Procedure: Ultrasound Guided Adductor Canal Block
  • Procedure: Ultrasound Guided Femoral Nerve Block
  • Experimental: Adductor Canal block first
    This arm received an ultrasound guided adductor canal block with 15mL of chloroprocaine 3% followed by motor, sensory and balance assessments. Then the patients received an ultrasound guided femoral nerve block with 15mL of chloroprocaine 3% followed by sensory and motor assessments.
    Interventions:
    • Procedure: Ultrasound Guided Adductor Canal Block
    • Procedure: Ultrasound Guided Femoral Nerve Block
  • Experimental: Femoral nerve block first
    This arm received an ultrasound guided femoral nerve block with 15mL of chloroprocaine 3% followed by motor, sensory and balance assessments. Then the patients received an ultrasound guided adductor canal block with 15mL of chloroprocaine 3% followed by sensory and motor assessments.
    Interventions:
    • Procedure: Ultrasound Guided Adductor Canal Block
    • Procedure: Ultrasound Guided Femoral Nerve Block
 

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
16
June 2012
June 2012   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Adults (>18yrs)
  • ASA 1-2

Exclusion Criteria:

  • BMI >30
  • Allergy to local anesthetics
  • Pre-existing gait disturbance
  • Pre-existing neuropathy
Both
18 Years to 65 Years
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT01655277
11-202
 
Jeff Gadsden, St. Luke's-Roosevelt Hospital Center
St. Luke's-Roosevelt Hospital Center
 
 
St. Luke's-Roosevelt Hospital Center
July 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP