Stroke Hemiplegic Shoulder Pain: Ultrasound Findings and VAS (Cross-Sectional)

NCT07426965 | Recruiting

• 1 other identifier: AEŞH-BADEK1-2025-682
• Study Type: observational
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Hemiplegic shoulder pain is a frequent complication after stroke and may be associated with structural abnormalities detectable by musculoskeletal ultrasound. This prospective cross-sectional observational study aims to evaluate the relationship between shoulder ultrasound abnormality score and pain severity in patients with post-stroke hemiplegic shoulder pain. Pain severity will be assessed using the Visual Analog Scale (VAS) for rest, movement, and night pain. Shoulder ultrasound will be performed using a standardized scoring system to quantify structural abnormalities. The primary objective is to investigate whether ultrasound abnormality burden is associated with pain severity in different clinical conditions (rest, exercise, and night).

Conditions

Hemiplegic Shoulder Pain

Keywords

Visual Analog Scale; Hemiplegic Shoulder Pain; Ultrasound

Outcome Measures

Primary Outcomes (1)

• Association between shoulder ultrasound abnormality score and pain severity

  Relationship between total shoulder ultrasound abnormality score and Visual Analog Scale (VAS) pain scores (rest, movement, and night pain) assessed at admission.

  At admission (single assessment on the same day as ultrasound)

Study Arms (1)

Post-stroke Hemiplegic Shoulder Pain Patients

Adult stroke patients with hemiplegic shoulder pain who are evaluated at admission. Pain severity is assessed using the Visual Analog Scale (VAS) for rest, movement, and night pain. Shoulder ultrasound is performed using a standardized protocol, and an ultrasound abnormality score is calculated to evaluate the relationship between structural abnormalities and pain severity.

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Adult patients with stroke and hemiplegic shoulder pain who are admitted to the physical medicine and rehabilitation clinic of Ankara Etlik City Hospital will be included. Eligible patients are between 18 and 75 years of age and within 2 weeks to 6 months after stroke. All participants will undergo clinical assessment and shoulder ultrasound examination at admission.

You may qualify if:

• Being between 18-75 years of age
• Patients with a history of stroke within the last 2 weeks to 6 months
• Patients with shoulder pain on the hemiplegic side
• Mini-mental status test score \>25

You may not qualify if:

• Motor aphasic patient group
• Patients with a history of previous surgery on the hemiplegic shoulder for any reason
• Those with other diseases that can explain the shoulder pain
• Those with neurodegenerative diseases that cause impairment in cognitive functions, such as dementia

Sponsors & Collaborators

• Ankara Etlik City Hospital: lead

Study Sites (1)

Ankara Etlik Şehir Hastanesi

Ankara, Turkey (Türkiye)

RECRUITING

Related Publications (2)

• Pong YP, Wang LY, Huang YC, Leong CP, Liaw MY, Chen HY. Sonography and physical findings in stroke patients with hemiplegic shoulders: a longitudinal study. J Rehabil Med. 2012 Jun;44(7):553-7. doi: 10.2340/16501977-0987.

  PMID: 22674236 BACKGROUND

• Huang SW, Liu SY, Tang HW, Wei TS, Wang WT, Yang CP. Relationship between severity of shoulder subluxation and soft-tissue injury in hemiplegic stroke patients. J Rehabil Med. 2012 Sep;44(9):733-9. doi: 10.2340/16501977-1026.

  PMID: 22854896 BACKGROUND

Related Links

• Related Info

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD

Study Record Dates

• First Submitted: February 17, 2026
• First Posted: February 23, 2026
• Study Start: February 17, 2026
• Primary Completion: August 1, 2026
• Study Completion (Estimated): September 1, 2026
• Last Updated: February 23, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)