Stroke
Conditions
Keywords
Stroke, Diabetic Neuropathy, Shoulder hand syndrome
Brief summary
Background: shoulder-hand syndrome is considered a significant reason for the reduction of upper limb functions after stroke. Purpose: To investigate the influence of Myofascial Trigger Points (MTrPs) release and shockwave therapy on pain and functions of the upper extremity in stroke patients with diabetic neuropathy.
Detailed description
Methods: two equal groups of thirty stroke patients, divided into, study group: which treated with MTrPs release combined with shockwave therapy and conventional program, while control group: treated with a conventional selected exercise program.
Interventions
OTHERMyofascial trigger points pressure (MTrP) release
Myofascial trigger points pressure (MTrP) release technique, the initial step was to recognize and find the trigger points (TP) , and The second step after TP palpation was the MTrP release technique, as follow, by one or both hands, the thumbs or four fingers of the therapist applied a maintained pressure, pushing internal toward the middle
OTHERShockwave therapy application
The JEST-2000 (JOEUN Medical, Dae-Jeon, South Korea) was used for the ESWT. The application of pressure pulses of ESWT was centered around the flexor muscles with hypertonia
OTHERconventional therapy
Passive ROM exercises performed by the therapist and Bobath Neurodevelopmental Approach (prolonged stretch): The Intervention methods for Bobath involved the activation of key points of control for the reduction of tone
Sponsors
October 6 University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
study group: which treated with MTrPs release combined with shockwave therapy and conventional program, while control group: treated with a conventional selected exercise program
Eligibility
Sex/Gender
ALL
Age
45 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* stroke from 4:8 months * age ranging from 45:60 years * All the patients were identified with SHS as diagnosed by the Diagnostic criteria for SHS post-stroke 18 and were in stage I of syndrome evolution
Exclusion criteria
* any other causes of shoulder pain in the hemiplegic side of the body * a cognitive impairment * structured joint deformity in the painful shoulder or hand * other musculoskeletal disorders of UE.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| - Complex Regional Pain Syndrome (CRPS) severity score | 4 weeks | It is a quantitative index and valid instrument to score and monitor the severity of CRPS and SHS. |
| - Figure-of-Eight Method of Measuring Hand Size for hand swelling | 4 weeks | The figure-of-eight technique utilizing tape measurement for hand size |
| - Visual analogue scale for pain (VAS-P) for pain assessment | 4 weeks | The VAS for pain is a valid and reliable assessment of pain intensity, as a straight horizontal line of fixed length (10 cm) considered the simplest VAS. |
Countries
Egypt
Outcome results
None listed