Hemorrhagic and Ischemic Stroke
Conditions
Interventions
Intervention group:The DPS group (Discovery of Posture Secret) begins with a comprehensive postural assessment, following the 4R technical framework—RJM (Resetting joint malalignment), RAM (Resetting
Control group:In clinical practice, SCTT is typically performed with the patient in a seated position. The therapist begins by identifying painful or dysfunctional regions based on the patient’s repor
Sponsors
Fuyong People's Hospital of Bao'an District, Shenzhen
Eligibility
Sex/Gender
All
Age
40 Years to 60 Years
Inclusion criteria
Inclusion criteria: 1 aged between 40 and 60 years; 2 diagnosed with a first-ever stroke (ischemic or hemorrhagic), confirmed by cranial CT or MRI; 3 onset of hemiplegic shoulder pain after the stroke, with a Visual Analog Scale (VAS) pain score >=4; 4 Brunnstrom stage II to V on the affected limb; 5 no significant pre-existing shoulder disorders (e.g., rotator cuff tear, severe osteoarthritis, adhesive capsulitis) confirmed by ultrasound and clinical exam; 6 no severe cognitive impairment (Mini-Mental State Examination score >=24); 7 able and willing to provide written informed consent.
Exclusion criteria
Exclusion criteria: 1 subarachnoid hemorrhage; 2 two or more prior strokes; 3 significant shoulder subluxation (>=1 finger-width gap between acromion and humeral head) or flaccid paralysis; 4 clinical deterioration due to recurrent infarct or hemorrhage; 5 severe cardiopulmonary conditions (e.g., acute myocardial infarction, unstable angina, severe arrhythmia, aortic stenosis, pericarditis, malignant hypertension); 6 other causes of shoulder pain unrelated to stroke, such as cervical spondylosis or referred visceral pain.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual Analogue Scale (VAS) for Pain; | — |
Secondary
| Measure | Time frame |
|---|---|
| ROM of the shoulder joint;Modified Barthel Index (MBI);The absolute vertical distance difference between the medial superior angle of the scapula on the affected side and the second thoracic spinous process (T2);Musculoskeletal ultrasound; | — |
Countries
China
Contacts
Public ContactNana Feng
Fuyong People's Hospital of Bao'an District, Shenzhen
Outcome results
None listed