Modified Arm Positioning to Reduce Shoulder Pain After Thoracoscopic Lobectomy
Official title: Effect of Modified Bilateral Arm Wrapping Position on Postoperative Ipsilateral Shoulder Pain in Patients Undergoing Video-Assisted Thoracoscopic Lobectomy: A Prospective Randomized Controlled Trial
Run by Chengdu Jinjiang Maternity and Child Health Hospital · NCT07746323 · Data updated 2026-11-12
This trial tests whether changing how the arm is positioned during thoracoscopic lobectomy can lower shoulder pain on the operated side in adults with lung lesions.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 270 (estimated) |
| Sponsor | Chengdu Jinjiang Maternity and Child Health Hospital Academic / other |
| Locations | 1 site (Chengdu, Sichuan) |
| Status | Recruiting |
| Started | May 1, 2026 |
| Main results expected | August 31, 2026 |
| Study ends | September 30, 2026 |
| Registry record updated | August 5, 2026 |
| Trial ID | NCT07746323 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) scheduled for elective video-assisted thoracoscopic lobectomy for a pulmonary lesion, with no pre-existing shoulder issues and suitable ASA I–III.
✕Probably not a fit
Patients with severe cervical spine disease, brachial plexus injury history, or those not experiencing shoulder pain related to positioning may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This prospective randomized trial will enroll 270 adults scheduled for video-assisted thoracoscopic lobectomy for lung lesions. Participants will be assigned to either the traditional arm-boards position or a modified double-arm wrap positioning during surgery. The goal is to see if the altered intraoperative arm position reduces postoperative shoulder pain without increasing complications. Outcomes will focus on pain levels on the surgical side and recovery measures in the postoperative period. The study is conducted at Chengdu Shangjin Nanfu Hospital in China with Chengdu Jinjiang Maternity and Child Health Hospital as the lead sponsor.
Why it matters
Potential benefit: If successful, patients could experience less shoulder pain after surgery, which may improve recovery and comfort.
How similar studies have gone: Prior approaches to preventing postoperative shoulder pain have focused on medications or nerve blocks; this arm-positioning strategy is a novel preventive approach with limited prior data.
Who can join: the full rules
Show full inclusion / exclusion criteria
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.
Where it's running
-
Chengdu Shangjin Nanfu Hospita
Chengdu, Sichuan, China Recruiting
Study contacts
- Study coordinator: Lu Feng
- Email: fengluhx@163.com
- Phone: +86 15982012545
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.