Dry Needling Treatment in Hemiplegic Shoulder Pain

Not Applicable

Completed

• Conditions: Shoulder Pain; Hemiplegia; Myofascial Pain
• Interventions: Other: Conventional physical therapy; Other: Conventional physical therapy plus dry needling

• Registration Number: NCT04790071
• Lead Sponsor: Kars State Hospital

Brief Summary

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

Detailed Description

The myofascial trigger point is an overlooked issue in hemiplegic shoulder pain. Our aim in this study is to evaluate whether dry needling treatment contributes to the conventional treatment approach.

Study Timeline

• Study First Submitted: 2021-02-27
• Study First Submitted QC: 2021-03-06
• Study First Posted: 2021-03-10
• Study Start: 2022-10-01
• Primary Completion: 2023-04-09
• Study Completion: 2023-04-09
• Status Verified: 2023-06
• Last Update Submitted: 2023-06-09
• Last Update Posted: 2023-06-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 46

Inclusion Criteria

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

Exclusion Criteria

• 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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Conventional therapy	Conventional physical therapy	It covers the classical physical therapy modalities that patients will take for shoulder pain.
Conventional therapy plus dry needling	Conventional physical therapy plus dry needling	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.

Primary Outcome Measures

Name	Time	Method
Change in visual analog scale score	3 months	It grades pain of the patients between 0 and 10 points. Higher scores represent a worse outcome
Change in Quick The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire score	3 months	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.
Change in Fugl-Meyer Assessment score	3 months	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).
Change in range of motion	3 months	Shoulder range of motion of the patients is evaluated in abduction, flexion, and external rotation. Higher measurements represent a better outcome

Trial Locations

Locations (2)

Kars State Hosital; 🇹🇷 Kars, Turkey

Kars State Hospital; 🇹🇷 Kars, Turkey