Hemiplegic Shoulder, Mobility Limitation
Conditions
Brief summary
One of the main complications after stroke is hemiplegic shoulder pain. It is known that one of the most frequent causes of hemiplegic shoulder pain is a restricted range of motion in the shoulder joint. Therefore, it is necessary to preserve the passive range of motion by using the most optimal mobilization technique. The aim of this study is to compare 2 different techniques in order to document their influence on shoulder range of motion and shoulder pain in stroke patients.
Interventions
Comparing the effect of angular mobilization in frontal or scapular plane and of providing soft tissue techniques on hemiplegic shoulder range of motion and pain.
Sponsors
University Ghent
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Patients do not know what are the intervention techniques or what is the control technique.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* First stroke * Upper limb impairment
Exclusion criteria
* Shoulder pain on the hemiplegic side with onset before the stroke * Surgery at the hemiplegic shoulder * Active movement possible within the whole range of motion
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Range of motion of the shoulder using goniometry | Measuring every 4 weeks up to 12 weeks after admission to the study protocol | Range of motion of the shoulder joint is measured using a goniometer |
| Shoulder pain using visual analogue scale | Measuring every 4 weeks up to 12 weeks after admission to the study protocol | Shoulder pain during rest, night and activities by using visual analogue scale (0-10) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Spasticity of the shoulder muscles using the Modified Ashworth Scale | Measuring every 4 weeks up to 12 weeks after admission to the study protocol | Spasticity of upper limb muscles related to the shoulder using Modified Ashworth Scale |
| Trunk Impairment Scale to assess trunk stability | Measuring every 4 weeks up to 12 weeks after admission to the study protocol | Trunk stability using the Trunk Impairment Scale |
| Fugl-Meyer Assessment - upper limb part to assess voluntary muscle activity | Measuring every 4 weeks up to 12 weeks after admission to the study protocol | voluntary muscle activity upper limb using the upper limb part of the Fugl-Meyer Scale |
Countries
Belgium
Outcome results
None listed