Effects of Hemiplegic Shoulder Pain

NCT05883475 | Completed

• 1 other identifier: 963
• Study Type: observational
• Target: 63
• Locations: 1 country
• Sites: 1

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.

Conditions

Stroke; Shoulder Pain

Outcome Measures

Primary Outcomes (3)

• DASH

  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.

  one hour

• AMAT

  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.

  one hour

• Nine Hole Peg Test

  In the Nine hole peg test, fine motor skills of the upper extremities decrease as time goes on.

  one hour

Secondary Outcomes (2)

• Sleep Qaulity

  one hour

• Functional Independence

  one hour

Study Arms (2)

Patients with shoulder pain

Those who scored above "0" for shoulder pain on the Visual Analog Scale (VAS) were assigned to the group with shoulder pain

Other: Disabilities of the Arm, Shoulder, and Hand Questionnaire; Other: Arm Motor Ability Test; Other: Nine Hole Peg Test; Other: Pittsburg Sleep Quality Index; Other: Functional Independence Measure

Patients without shoulder pain

Those who scored "0" for shoulder pain on the Visual Analog Scale (VAS) were assigned to the group without shoulder pain

Other: Disabilities of the Arm, Shoulder, and Hand Questionnaire; Other: Arm Motor Ability Test; Other: Nine Hole Peg Test; Other: Pittsburg Sleep Quality Index; Other: Functional Independence Measure

Interventions

Disabilities of the Arm, Shoulder, and Hand Questionnaire OTHER

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.

Patients with shoulder pain; Patients without shoulder pain

Arm Motor Ability Test OTHER

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.

Patients with shoulder pain; Patients without shoulder pain

Nine Hole Peg Test OTHER

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

Patients with shoulder pain; Patients without shoulder pain

Pittsburg Sleep Quality Index OTHER

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".

Patients with shoulder pain; Patients without shoulder pain

Functional Independence Measure OTHER

This test assessed functional capacity in activities of daily living.The higher a person's score, the higher the level of independence.

Patients with shoulder pain; Patients without shoulder pain

Eligibility Criteria

• Age: 18 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Stroke patients

You may qualify if:

• Over 18 years old
• Have had a stroke at least three months ago
• Volunteers who can understand or communicate test instructions

You may not qualify if:

• Having a history of shoulder surgery
• Having serious shoulder problems before stroke
• Having other neurological conditions

Sponsors & Collaborators

• Ankara Yildirim Beyazıt University: lead

Study Sites (1)

Ankara Yıldırım Beyazıt University, Faculty of Health Sciences,Department of Physiotherapy and Rehabilitation

Ankara, Esenboğa, 06970, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Stroke; Shoulder Pain

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Arthralgia; Joint Diseases; Musculoskeletal Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 16, 2023
• First Posted: June 1, 2023
• Study Start: June 1, 2022
• Primary Completion: October 15, 2022
• Study Completion: October 30, 2022
• Last Updated: June 1, 2023

Record last verified: 2023-05

Locations

TU (1)