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临床试验/NCT06678425
NCT06678425尚未招募2 期

Efficacy of Repetitive Peripheral Magnetic Stimulation on Shoulder Subluxation in Subacute Stroke Patients

Mahidol University1 个研究点 分布在 1 个国家目标入组 20 人开始时间: 2025年1月1日最近更新:
适应症
干预措施

试验速览

阶段
2 期
状态
尚未招募
入组人数
20
试验地点
1
主要终点
Acromiohumeral interval

研究概览

简要总结

The goal of this clinical trial is to study the efficacy of repetitive peripheral magnetic stimulation (rPMS) on shoulder subluxation in subacute stroke patients. The main questions it aims to answer are Could rPMS reduce shoulder subluxation and improve upper-limb motor recovery in subacute stroke patients?

Researchers will compare real rPMS to sham rPMS to see if rPMS works to improve shoulder subluxation and upper-limb motor recovery in subacute stroke patients.

Participants will:

  • Get real rPMS or sham rPMS for 20 minutes, 5 days a week for 2 weeks
  • Get conventional rehabilitation program 5 days a week for 2 weeks
  • Follow-up at 2-, 4-, 8- and 12-weeks after first day of treatment

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Subacute phase (seven days to six months) and first time of stroke patients
  • •Shoulder subluxation that measured half of a fingerbreadth or more
  • •Meet the criteria for admission to a comprehensive rehabilitation program
  • •Medically stable
  • •Intact skin on the hemiparetic arm

排除标准

  • •Patients with contraindication for magnetic stimulation; cardiac pacemakers, magnetic materials near the intended stimulation site
  • •Patients with pregnancy
  • •Patients with severe aphasia or severe cognitive impairment
  • •Patients with previous shoulder pathology or limit shoulder function before stroke
  • •Patients with unstable vital signs

研究组 & 干预措施

real rPMS

Experimental

Real rPMS was applied to supraspinatus and posterior deltoid muscles for 20 Hz total 2,400 pulses.

干预措施: Peripheral magnetic stimulator (Device)

sham rPMS

Sham Comparator

sham rPMS was applied to supraspinatus and posterior deltoid muscles with the same coil as real rPMS, but in a position perpendicular to the skin, using intensity for 5% of the maximum output.

干预措施: Peripheral magnetic stimulator (Device)

结局指标

主要结局

Acromiohumeral interval

时间窗: pretreatment, 2-, 4-, 8- and 12-weeks after first day of treatment

the shortest distance between two parallel lines drawn from the inferior border of the acromion and the superior border of the humerus head on the anteroposterior shoulder x-ray

次要结局

  • Fugl-Meyer assessment of upper extremities (FMA-UE)(pretreatment, 2-, 4-, 8- and 12-weeks after first day of treatment)
  • Numeric Pain Rating Scale (NRS)(pretreatment, 2-, 4-, 8- and 12-weeks after first day of treatment)
  • Modified Ashworth Scale (MAS)(pretreatment, 2-, 4-, 8- and 12-weeks after first day of treatment)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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