MTPr With Shockwave on Pain & Function of SHS in Stroke

NCT04627636 | Completed

• 1 other identifier: No: P.T.REC/012/002459
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

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.

Conditions

Stroke

Keywords

Stroke; Diabetic Neuropathy; Shoulder hand syndrome

Outcome Measures

Primary Outcomes (3)

• - Complex Regional Pain Syndrome (CRPS) severity score

  It is a quantitative index and valid instrument to score and monitor the severity of CRPS and SHS.

  4 weeks

• - Figure-of-Eight Method of Measuring Hand Size for hand swelling

  The figure-of-eight technique utilizing tape measurement for hand size

  4 weeks

• - Visual analogue scale for pain (VAS-P) for pain assessment

  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.

  4 weeks

Study Arms (2)

study group

EXPERIMENTAL

which treated with MTrPs release combined with shockwave therapy and conventional program

Other: Myofascial trigger points pressure (MTrP) release; Other: Shockwave therapy application; Other: conventional therapy

control group

EXPERIMENTAL

which treated with conventional physical therapy program

Other: conventional therapy

Interventions

Myofascial trigger points pressure (MTrP) release OTHER

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

study group

Shockwave therapy application OTHER

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

study group

conventional therapy OTHER

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

control group; study group

Eligibility Criteria

• Age: 45 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• 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

You may not qualify if:

• 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.

Sponsors & Collaborators

• October 6 University: lead

Study Sites (1)

Lama S Mahmoud

Al Jīzah, Select State, Egypt

Location

MeSH Terms

Conditions

Stroke; Diabetic Neuropathies; Reflex Sympathetic Dystrophy

Interventions

Drainage

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Peripheral Nervous System Diseases; Neuromuscular Diseases; Diabetes Complications; Diabetes Mellitus; Endocrine System Diseases; Complex Regional Pain Syndromes; Autonomic Nervous System Diseases

Intervention Hierarchy (Ancestors)

Therapeutics; Surgical Procedures, Operative

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer of physical therapy, Department of Neuromuscular disorders and its surgery, faculty of physical therapy, october 6 univerisity

Model Details: study group: which treated with MTrPs release combined with shockwave therapy and conventional program, while control group: treated with a conventional selected exercise program

Study Record Dates

• First Submitted: November 8, 2020
• First Posted: November 13, 2020
• Study Start: October 1, 2019
• Primary Completion: December 30, 2019
• Study Completion: January 30, 2020
• Last Updated: November 13, 2020

Record last verified: 2020-11

Locations

EG (1)