Efficacy of Scapular Stabilization Exercise on Shoulder Hand Syndrome among Post-Stroke Patients
Overview
- Phase
- Not Applicable
- Status
- Not Applicable
- Sponsor
- Department of Physiotherapy and Rehabilitation
- Enrollment
- 33
- Locations
- 1
- Primary Endpoint
- Constant Murley Score will be used to assess shoulder function through pain intensity, activities of daily living, range of motion, and muscle strength
Overview
Brief Summary
This is a single-group, pre-test post-test study aimed at evaluating the efficacy of scapular stabilization exercises in the management of shoulder-hand syndrome (SHS) among post-stroke patients. The intervention is intended to enhance shoulder function by addressing pain, muscle tone, range of motion, and upper limb mobility. Primary and secondary outcomes will be measured using the Scapular Pain and Disability Index (SPADI), Constant-Murley Score (CMS), Modified Ashworth Scale (MAS), and Pressure Pain Threshold (PPT). The study will be conducted at the Neurology Unit of the Centre for the Rehabilitation of the Paralyzed (CRP), Savar, Bangladesh.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Masking
- Outcome Assessor Blinded
Eligibility Criteria
- Ages
- 30.00 Year(s) to 85.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Confirmed diagnosis of a first-ever stroke supported by a head CT or MRI scan
- •first-onset stroke patients with unilateral hemiparesis.
- •2 months to 6 months after stroke onset
- •Brunnstrom recovery stage four or above for the affected upper limb.
- •Impaired upper extremity fluid return, and vasomotor dysfunction following central nervous system injury
- •Attend voluntarily for this study with a signed informed consent.
- •Well general condition with stabilized vital signs and normal consciousness.
Exclusion Criteria
- •Reversible stroke.
- •Hemorrhagic stroke
- •Spasticity in the upper limb
- •Severe visceral organ (e.g., heart, lung, liver, and kidney) dysfunction
- •Severe diagnosed cognitive dysfunction
- •History of diagnosed mental disease and could not cooperate in rehabilitation treatment
- •Implanted with cardiac pacemaker with upper limb dysfunction due to other causes.
Outcomes
Primary Outcomes
Constant Murley Score will be used to assess shoulder function through pain intensity, activities of daily living, range of motion, and muscle strength
Time Frame: 4 Weeks
Secondary Outcomes
- 1. Pain intensity measured by Pressure Pain Threshold (PPT)(2. Spasticity will be measured by Modified Ashworth Scale (MAS))
Investigators
Sayda Sadia Tuj Jahra
Jashore University of Science and Technology