Stroke, Shoulder Pain
Conditions
Brief summary
The purposes of this study is to investigate the differences in upper extremity function, sleep quality, and functional independence between patients with and without hemiplegic shoulder pain (HSP). HSP is defined as musculoskeletal pain in the affected shoulders of individuals after stroke.Numerous studies have found an association between post-stroke shoulder pain and range of motion, sensory impairment, subluxation, spasticity, and complex regional pain syndrome. HSP is a problem that, starting from mild discomfort, leads to gradual functional impairment, ultimately resulting in increasing disability and decreased independence.In the literature, the relationship between HSP and upper extremity function, functional independence, and sleep quality has not been clarified.
Interventions
OTHERDisabilities of the Arm, Shoulder, and Hand Questionnaire
Upper limb function was assessed with the Turkish version of the Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH). The questionnaire DASH is a self-report instrument with 30 items. The total score ranges from 0 to 100, with higher scores indicating a worse upper limb function.
OTHERArm Motor Ability Test
The test assesses hemiparetic upper extremity functional tasks.The increase in the scores of both subparameters of the scale, which is composed of the parameters of functional ability and quality of movement, indicates an improvement in the motor functions of the upper limbs.
OTHERNine Hole Peg Test
Fine motor skills of the upper extremities were assessed.The patient was asked to insert the nine sticks in the box on the table into the holes in the other box as quickly as possible and then remove them immediately. As time increases, fine motor skills of the upper extremities decrease
OTHERPittsburg Sleep Quality Index
Sleep quality was assessed using the this test.This scale, which provides a quantitative measure of sleep quality, is a 19-item self-report scale. The total score greater than 5 indicates poor sleep quality.
This test assessed functional capacity in activities of daily living.The higher a person's score, the higher the level of independence.
Sponsors
Ankara Yildirim Beyazıt University
Study design
Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Over 18 years old * Have had a stroke at least three months ago * Volunteers who can understand or communicate test instructions
Exclusion criteria
* Having a history of shoulder surgery * Having serious shoulder problems before stroke * Having other neurological conditions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| DASH | one hour | Upper limb functions was assessed with DASH, AMAT, and Nine Hole Peg Test.The DASH total score ranges from 0 to 100, with higher scores indicating a worse upper limb function. |
| AMAT | one hour | The increase in the scores of both subparameters of the AMAT scale, which is composed of the parameters of functional ability and quality of movement, indicates an improvement in the motor functions of the upper limbs. |
| Nine Hole Peg Test | one hour | In the Nine hole peg test, fine motor skills of the upper extremities decrease as time goes on. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sleep Qaulity | one hour | Sleep quality was assessed using the Pittsburg Sleep Quality Index (PSQI). The total score ranges from 0 to 21, and a total score greater than 5 indicates poor sleep quality |
| Functional Independence | one hour | The Functional Independence Measure (FIM) assessed functional capacity in activities of daily living. The FIM Consists of 6 parts and analyzes motor and cognitive functions. The higher a person's score, the higher the level of independence. |
Countries
Turkey (Türkiye)
Outcome results
None listed