Does Dry Needling Treatment Make an Extra Contribution to Conventional Treatment in Hemiplegic Shoulder Pain?
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Myofascial Pain
- Sponsor
- Kars State Hospital
- Enrollment
- 46
- Locations
- 2
- Primary Endpoint
- Change in visual analog scale score
- Status
- Completed
- Last Updated
- 2 years ago
Overview
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.
Investigators
Fatih Bagcier
Study Principal Investigator
Kars State Hospital
Eligibility Criteria
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.
Outcomes
Primary Outcomes
Change in visual analog scale score
Time Frame: 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
Time Frame: 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
Time Frame: 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
Time Frame: 3 months
Shoulder range of motion of the patients is evaluated in abduction, flexion, and external rotation. Higher measurements represent a better outcome