Quadratus Lumborum Type 2 as Chronic Hip Pain Treatment

NCT04438265 | Completed DMC

• 1 other identifier: PI20-1770 A.4.2/PI 21-PI104
• Study Type: observational
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

The main objective of the study is to assess whether the performance of type 2 quadratus lumborum block produces an improvement in the quality of life of the patient with osteoarthritis of the hip.

Conditions

Hip Arthropathy; Chronic Hip Pain; Ultrasound Therapy; Complications

Keywords

chronic hip pain; ultrasound therapy

Outcome Measures

Primary Outcomes (1)

• relieve chronic hip pain

  The main objective of the study is to assess whether the performance of type 2 lumbar .square block produces an improvement in the quality of life of the patient with osteoarthritis of the hip. The evaluation of the patient will consist of 2 stages. The first of these will consist of the evaluation consultation evaluation with verbal numeric scale (VNS: 0 no dolor-10 the worst pain imaginable ) if patients improve their quality of pain

  3 months

Secondary Outcomes (1)

• rate of adverse effects of the block

  3 months

Other Outcomes (1)

• relieve chronic pain at 6 month

  6 months

Study Arms (2)

quadratus lumborum

analgesic technique. The evaluation of the patient will consist of 2 stages. The first of these will consist of the evaluation consultation (clinical history, EVN evaluation, WOMAC) and initial treatment (QL2 block). In the second stage, the patient will be followed up with interviews at 3 weeks, 3 and 6 months.

Drug: levobupivacaine; Device: ultrasound device

Control

Current analgesia , no QL block apply

Interventions

levobupivacaine DRUG

local anesthetic

Also known as: chirocane

quadratus lumborum

ultrasound device DEVICE

scream

quadratus lumborum

Eligibility Criteria

• Age: 18 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

patient with coxalgia

You may qualify if:

• Sign informed consent (Annex 2)
• Age 18-85 years
• Cartilage injury (coxarthrosis) hip
• Illness \<1 year of evolution
• Patients with pain after treatment with physical therapy, exercises, NSAIDs.
• EVN\> 5

You may not qualify if:

• Refusal of the patient
• Allergy to the drugs used
• Contraindication for performing the technique
• Intraarticular treatment in the previous 3 months
• Pregnancy

Sponsors & Collaborators

• Hospital Medina del Campo: lead
• Hospital Universitaio Getafe: collaborator
• Hospital Rio Hortega: collaborator

Study Sites (1)

María Teresa Fernandez

Valladolid, Castille and León, 47008, Spain

Location

Related Publications (5)

• Adhikary SD, Short AJ, El-Boghdadly K, Abdelmalak MJ, Chin KJ. Transmuscular quadratus lumborum versus lumbar plexus block for total hip arthroplasty: A retrospective propensity score matched cohort study. J Anaesthesiol Clin Pharmacol. 2018 Jul-Sep;34(3):372-378. doi: 10.4103/joacp.JOACP_335_17.

  PMID: 30386022 BACKGROUND

• Adhikary SD, El-Boghdadly K, Nasralah Z, Sarwani N, Nixon AM, Chin KJ. A radiologic and anatomic assessment of injectate spread following transmuscular quadratus lumborum block in cadavers. Anaesthesia. 2017 Jan;72(1):73-79. doi: 10.1111/anae.13647. Epub 2016 Oct 12.

  PMID: 27730633 BACKGROUND

• Fernandez Martin MT, Lopez Alvarez S, Ortigosa Solorzano E. Quadratus lumborum block. New approach for a chronic hip pain. Cases report. Rev Esp Anestesiol Reanim (Engl Ed). 2020 Jan;67(1):44-48. doi: 10.1016/j.redar.2019.10.001. Epub 2019 Nov 22. English, Spanish.

  PMID: 31767198 BACKGROUND

• Fernandez MT, Aguirre JA, Lopez S. Posterior Quadratus Lumborum Block, A Novel Approach to Treat Chronic Hip Pain: A Case Series. A A Pract. 2023 Mar 17;17(3):e01671. doi: 10.1213/XAA.0000000000001671. eCollection 2023 Mar 1.

  PMID: 36930793 BACKGROUND

• Fernandez Martin MT, Ortigosa E, Aguirre JA. Posterior quadratus lumborum block in chronic hip pain, preliminary results from a prospective study. Minerva Anestesiol. 2023 Mar;89(3):231-233. doi: 10.23736/S0375-9393.22.16892-6. Epub 2022 Oct 25. No abstract available.

  PMID: 36282230 RESULT

MeSH Terms

Interventions

Levobupivacaine; Ultrasonography

Intervention Hierarchy (Ancestors)

Bupivacaine; Anilides; Amides; Organic Chemicals; Aniline Compounds; Amines; Diagnostic Imaging; Diagnostic Techniques and Procedures; Diagnosis

Study Officials

• Maria Teresa Fernandez

  Hospital Medina del Campo

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: June 10, 2020
• First Posted: June 18, 2020
• Study Start: September 1, 2020
• Primary Completion: September 1, 2022
• Study Completion: June 1, 2024
• Last Updated: October 23, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)