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Prediction of Poor Response to Conventional Rehabilitation in Post-Stroke Patients with Shoulder-Hand Syndrome

A Retrospective Study Predicting the Risk of Poor Response to Conventional Rehabilitation in Post-Stroke Patients with Shoulder-Hand Syndrome Based on Machine Learning and SHAP Analysis

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2600128975
Enrollment
Unknown
Registered
2026-07-29
Start date
2026-08-01
Completion date
Unknown
Last updated
2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cerebral Infarction, Cerebral Hemorrhage

Interventions

Good Responders / Poor Responders:None

Sponsors

Taizhou People's Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 80 Years

Inclusion criteria

Inclusion criteria: 1. Aged 18-80 years; 2. Cerebral infarction or cerebral hemorrhage confirmed by transcranial brain CT or MRI, meeting the diagnostic criteria established by the National Cerebrovascular Disease Academic Conference; 3. Meet the clinical diagnosis of post-stroke shoulder-hand syndrome/complex regional pain syndrome type I, which is mainly characterized by shoulder pain, hand edema, pain, changes in skin temperature or skin color, limited joint mobility, etc., on the affected side, and the diagnosis is clearly documented by a rehabilitation medicine specialist; 4. Received systematic inpatient rehabilitation treatment in this hospital, with a treatment duration of >= 8 weeks; 5. Core efficacy evaluation records, including baseline and 8-week post-treatment edema volume and/or pain VAS, are available.

Exclusion criteria

Exclusion criteria: 1. Patients with a history of fractures in the affected upper limb, rotator cuff injuries, severe osteoarthritis, and peripheral nerve injuries; 2. Patients with severe dysfunction of internal organs such as the heart, liver, and kidneys, or those in the terminal stage of malignant tumors; 3. Those who have severe cognitive impairment (MMSE score <15) or mental illness and are unable to follow instructions to complete rehabilitation training; 4. Those who have undergone relevant surgical intervention or botulinum toxin injection therapy; 5. Those who have not received standardized systematic rehabilitation treatment; 6. Patients who died or experienced rapid deterioration of their condition within 72 hours after admission and were unable to receive rehabilitation treatment.

Design outcomes

Primary

MeasureTime frame
Hand edema volume of affected limb;Pain VAS Score;

Secondary

MeasureTime frame
Upper Extremity Motor Assessment (FMA-UE);Modified Ashworth Scale Assessment of Upper Limb Muscle Tone;Assessment of manual muscle strength of the distal upper limbs;Modified Barthel Index (MBI);Brunnstrom Stage of Hand Recovery;Area under the ROC curve (AUC).;Precision?Recall curve (PR curve).;

Countries

China

Contacts

Public ContactJia Yuqiu

Taizhou People's Hospital

1539879142@qq.com+86 523 86606739

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Aug 10, 2026