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Effect of Modified Arm Positioning on Shoulder Pain After Thoracoscopic Lobectomy

RecruitingNAAges 18 Years - anyAllChengdu Jinjiang Maternity and Child Health Hospi…
NCT07746323 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

This study is a prospective randomized controlled trial aiming to reduce shoulder pain after lung surgery. Shoulder pain on the surgical side is common after video-assisted thoracoscopic lobectomy, affecting about 20%-58% of patients. It can limit coughing, moving, and sleeping, and may delay recovery. The pain may come from two sources: nerve stimulation during surgery and the prolonged arm position used during the operation. While nerve stimulation is hard to avoid, the arm position can be modified. Currently, most pain treatments rely on medications or nerve blocks given after surgery, which have side effects or risks. No one has tried to prevent the pain by changing the arm position during the operation. We plan to enroll 270 patients scheduled for thoracoscopic lung removal surgery at Chengdu Shangjin Nanfu Hospital. Patients will be randomly divided into two groups. One group wil

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📋 Eligibility rules (as published)
Inclusion Criteria: 1. Age ≥18 years. 2. Diagnosed with pulmonary space-occupying lesion and scheduled for elective video-assisted thoracoscopic standard lobectomy. 3. ASA physical status classification I-III. 4. No pre-existing shoulder pain or shoulder mobility impairment prior to surgery. 5. No long-term use of analgesic medications (\>1 week) before surgery. 6. Willing and able to provide written informed consent. Exclusion Criteria: 1. Severe cervical spine disease or history of brachial plexus injury. 2. Cognitive impairment or psychiatric disorder precluding understanding of pain assessment scales.
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What it tests

  • Modified Double-Arm Wrap Positioning
  • Traditional Arm-Board Position
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Where

1 site
Chengdu Shangjin Nanfu Hospita
Chengdu, China
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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