Dry Needling Treatment in Hemiplegic Shoulder Pain

NCT04790071 | Completed

• 1 other identifier: 2015-KAEK-43-20-12
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 2

Brief Summary

To evaluate the efficacy of dry needling therapy on shoulder pain and upper extremity functions in hemiplegic patients.

Conditions

Hemiplegia; Shoulder Pain; Myofascial Pain

Keywords

Hemiplegic shoulder pain; Conventional treatment; Dry needling

Outcome Measures

Primary Outcomes (4)

• Change in visual analog scale score

  It grades pain of the patients between 0 and 10 points. Higher scores represent a worse outcome

  3 months

• Change in range of motion

  Shoulder range of motion of the patients is evaluated in abduction, flexion, and external rotation. Higher measurements represent a better outcome

  3 months

• Change in Quick The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire score

  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.

  3 months

• Change in Fugl-Meyer Assessment score

  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).

  3 months

Study Arms (2)

Conventional therapy

ACTIVE COMPARATOR

It covers the classical physical therapy modalities that patients will take for shoulder pain.

Other: Conventional physical therapy

Conventional therapy plus dry needling

ACTIVE COMPARATOR

It covers the classical physical therapy modalities that patients will take for shoulder pain. It also refers to the dry needling treatment to be applied.

Other: Conventional physical therapy plus dry needling

Interventions

Conventional physical therapy OTHER

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).

Conventional therapy

Conventional physical therapy plus dry needling OTHER

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.

Conventional therapy plus dry needling

Eligibility Criteria

• Age: 30 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• The patients included in the study were aged between 30-60 years, with at least a 3-month history of hemorrhagic or ischemic stroke.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Kars State Hospital: lead

Study Sites (2)

Kars State Hosital

Kars, Turkey (Türkiye)

Location

Kars State Hospital

Kars, Turkey (Türkiye)

Location

Related Publications (1)

• Bagcier F, Yurdakul OV, Deniz G, Akbulut A, Celik Y, Temel MH. Is Dry Needling Treatment an Extra Contribution to Conventional Treatment for Hemiplegic Shoulder Pain? A Prospective, Randomized Controlled Study. Med Acupunct. 2023 Oct 1;35(5):236-245. doi: 10.1089/acu.2023.0060. Epub 2023 Oct 17.

  PMID: 37900876 DERIVED

MeSH Terms

Conditions

Hemiplegia; Shoulder Pain

Interventions

Dry Needling

Condition Hierarchy (Ancestors)

Paralysis; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Arthralgia; Joint Diseases; Musculoskeletal Diseases; Pain

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities

Study Officials

• Fatih Bagcier

  Kars State Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Study Principal Investigator

Model Details: Prospective randomised controlled

Study Record Dates

• First Submitted: February 27, 2021
• First Posted: March 10, 2021
• Study Start: October 1, 2022
• Primary Completion: April 9, 2023
• Study Completion: April 9, 2023
• Last Updated: June 12, 2023

Record last verified: 2023-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (2)