Hemiplegia, Myofascial Pain, Shoulder Pain
Conditions
Keywords
Hemiplegic shoulder pain, Conventional treatment, Dry needling
Brief summary
To evaluate the efficacy of dry needling therapy on shoulder pain and upper extremity functions in hemiplegic patients.
Detailed description
The myofascial trigger point is an overlooked issue in hemiplegic shoulder pain. Our aim in this study is to evaluate whether dry needling treatment contributes to the conventional treatment approach.
Interventions
OTHERConventional physical therapy
Conventional physical therapy: The patients received physical therapy to the shoulder, transcutaneous electrical nerve stimulation, and stretching and strengthening exercises (5 days per week for three weeks in a total of 15 sessions).
OTHERConventional physical therapy plus dry needling
Conventional physical therapy plus dry needling: The patients received physical therapy to the shoulder, including transcutaneous electrical nerve stimulation, stretching, and strengthening exercise (5 days per week for three weeks in a total of 15 sessions). And also, a total of 3 dry needling sessions were applied at 7-day intervals.
Sponsors
Kars State Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
Prospective randomised controlled
Eligibility
Sex/Gender
ALL
Age
30 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* The patients included in the study were aged between 30-60 years, with at least a 3-month history of hemorrhagic or ischemic stroke.
Exclusion criteria
* if they had severe difficulty in communication * had received a corticosteroid injection within 3 months prior to enrollment * had bleeding diathesis, a history of shoulder surgery * a preexisting painful shoulder disorder, or had a cardiac pacemaker.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in visual analog scale score | 3 months | It grades pain of the patients between 0 and 10 points. Higher scores represent a worse outcome |
| Change in range of motion | 3 months | Shoulder range of motion of the patients is evaluated in abduction, flexion, and external rotation. Higher measurements represent a better outcome |
| Change in Quick The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire score | 3 months | The Quick DASH is an 11-item measure of the magnitude of disability and symptoms specific to the upper extremity. The first 6 items measure the degree of difficulty in performing various physical activities because of a shoulder, arm, and hand problem, and the other 5 items related to quality of sleeping, social activities, and daily activities, and the intensity of pain and numbness. |
| Change in Fugl-Meyer Assessment score | 3 months | The FM scale is a 226-point multi-item Likert-type scale developed as an evaluative measure of recovery from hemiplegic stroke. It is divided into 5 domains: motor function, sensory function, balance, joint range of motion, and joint pain. Each domain contains multiple items, each scored on a 3-point ordinal scale (0 = cannot perform, 1 = performs partially, 2 = performs fully). |
Countries
Turkey (Türkiye)
Outcome results
None listed