Brachial Plexus Injury Clinical Trial
— ELASTOfficial title:
EVALUATION OF BRACHIAL PLEXUS IN DIFFERENT ARM POSITIONS BY ELASTOGRAPHY
In daily life,people protect their tissues against ischemia by constantly changing positions. In situations that cause unconsciousness such as anesthesia,people cannot react to the stress or pressure due to immobility.This prolongation of immobility can lead to reversible or irreversible damage to the tissues.Therefore,not careful positioning in patients undergoing surgery can lead to serious complications.Peripheral nerve disorders are common in clinical practice.Electrodiagnostic studies continue to be the gold standard for the evaluation of nerve disorders.Elastography is a technique that measures the elastic properties of tissues as a new ultrasonography technology.Given the histological changes in diseased peripheral nerves, nerve elastography has begun to be studied as a noninvasive way to evaluate changes in nerve tissue composition.Elastography of the peripheral nerves has rarely been studied. Primary aim in this study is to compare the elastography values of the brachial plexus in different arm and head positions and to contribute to elucidating the mechanism of nerve damage due to position.American Society of Anesthesiologists (ASA) I-II volunteers between the ages of 18-65 will be recruited to the study.The bilateral brachial plexus of each volunteer will be examined.Participants with upper extremity or cervical trauma, muscle weakness,cervical disc herniation or a history of spine or cranial surgery, neuromuscular disease, clinical diagnosis of brachial plexopathies, hyperlipidemia,diabetes mellitus or radiotherapy history in the cervical region,body mass index> 35 will not be taken.Before the procedure, the muscle strength of the upper extremity and cervical muscles will be examined and volunteers with muscle weakness will be excluded from the study.Measurements will be made together by two researchers who have at least 5 years of experience in ultrasonography.Measurements will be made in 3 different positions.When the arm and head are in neutral position, the head is turned to the opposite side and the head is turned to the opposite side, the brachial plexus in the supraclavicular region will be visualized by ultrasonography while the arm is in hyperabduction.The area between the upper boundary and the lower boundary of the plexus will be marked, and the values will be taken 5 times consecutively with the share wave elastography method and the elastic modulus,shear wave velocity will be recorded.
Status | Not yet recruiting |
Enrollment | 8 |
Est. completion date | August 1, 2021 |
Est. primary completion date | July 15, 2021 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: - ASA I-II - Volunteers Exclusion Criteria: - Upper extremity trauma - Cervical trauma - Muscle weakness - Cervical disc herniation - History of spine surgery - Cranial surgery, - Neuromuscular disease - Clinical diagnosis of brachial plexopathies - Hyperlipidemia - Diabetes mellitus - Radiotherapy history in the cervical region - Severely obese volunteers (body mass index> 35 kg / m2) |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Ataturk University |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Primary aim in this study is to compare the baseline measurements of elastography values (kPa-kilopascal) of the brachial plexus in different arm and head positions. | Prestudy will be conducted with volunteers and the measurement will take about 15 minutes per case for three different case position as described in thestudy will be conducted with volunteers and the measurement will take about 15 minutes per subject. |
Status | Clinical Trial | Phase | |
---|---|---|---|
Not yet recruiting |
NCT05859178 -
Exercise Training for Brachial Plexus Injury Following Nerve Transfer
|
Phase 2 | |
Completed |
NCT05575674 -
Retrospective Study on Myoelectric Elbow-Wrist-Hand Orthosis User Outcomes
|
||
Enrolling by invitation |
NCT06437990 -
Arteriovenous Loop Graft for Free Functional Gracilis Transfer in Brachial Plexus Surgery
|
N/A | |
Completed |
NCT01393444 -
ECoG Direct Brain Interface for Individuals With Upper Limb Paralysis
|
N/A | |
Active, not recruiting |
NCT04900896 -
Outcome Measures Study on an Adult Myoelectric Elbow-Wrist-Hand Orthosis
|
||
Terminated |
NCT01297439 -
New Prophylactic Maneuver: the "Pushing" Maneuver, Aiming to Reduce the Risk for Shoulder Dystocia
|
N/A | |
Completed |
NCT06237270 -
External Validation Study for Risk Prediction Model for Unsuccessful Elbow Flexion Recovery After Nerve Transfer Surgery in Patients With Brachial Plexus Injury
|
||
Recruiting |
NCT06313658 -
Enhancing Functional Hand Recovery Through Nerve Reconstruction in Total Brachial Plexus Birth Injury
|
||
Not yet recruiting |
NCT05810077 -
Feasibility of Brachial Plexus Ultrasound in Evaluation of Patients With Brachial Plexus Injuries
|
||
Recruiting |
NCT04939233 -
Robotic Hand Orthosis Providing Grasp Assistance for Patients With Brachial Plexus Injuries
|
N/A | |
Recruiting |
NCT00755586 -
Stem Cell Therapy to Improve the Muscle Function of Patients With Partly Denervated Muscles of the Arm
|
Phase 1/Phase 2 | |
Completed |
NCT03377712 -
Surgical Repercussions in Respiratory System in Patients With Post-Traumatic Brachial Plexus Injuries: A Prospective Cohort Study
|
||
Completed |
NCT03409536 -
Somatosensory Evoked Potential (SSEP) Monitoring for Brachial Plexus Injury
|
||
Completed |
NCT03162393 -
The Surgical Treatment of Total Brachial Plexus Avulsion Injury-A Retrospective Study of 73 Patients
|
N/A | |
Recruiting |
NCT04733599 -
Neurostimulation for Treatment of Chronic Upper Limb Pain After Brachial Plexus Injury
|
||
Enrolling by invitation |
NCT04933149 -
Ketamine Infusion for Neuropathic Pain in Brachial Plexus Injuries
|
Phase 4 | |
Recruiting |
NCT01894802 -
Cortical Recording and Stimulating Array Brain-Machine Interface
|
N/A | |
Completed |
NCT02711774 -
Changes in Optic Nerve Sheath Diameter in Response to Various Levels of End Tidal Carbon Dioxide Levels
|
N/A | |
Recruiting |
NCT05693038 -
Brachial Plexus Injury After Prone Positioning
|
||
Withdrawn |
NCT01334632 -
Incidence of Brachial Plexus Injury After Rotator Cuff Repair With Continuous Interscalene Block
|
N/A |