Effect of Magnetic Therapy on Pain and Function in Hemplegic Shoulder Pain Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hemiplegia
- Sponsor
- Delta University for Science and Technology
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- The pain pressure threshold (PPT) assessment by using pressure algometer procedures
- Status
- Completed
- Last Updated
- 4 months ago
Overview
Brief Summary
The purpose of the current study will be focused on the following issues. Evaluation of the effect of magnetic therapy on the pressure pain threshold and disability in stroke hemiplegic shoulder.
Detailed Description
Further understanding of rotator cuff tendon impairment and other shoulder soft tissue structural abnormalities in stroke patients may help clinicians in assigning more complete therapeutic plans to hemiplegic patients. The radial extra-corporeal shock-wave therapy has promising results in patients with musculoskeletal problems and in those with various causes of HSP, including spasticity, rotator cuff problems, adhesive capsulitis, and complex regional pain syndrome.
Investigators
Ibrahim Ahmed Ibrahim Abu Ella
assistant lecturer
Delta University for Science and Technology
Eligibility Criteria
Inclusion Criteria
- •Patient's age ranges from 40 to 60 years.
- •Spasticity of upper limb ranges from mild to moderate (grade 1+: 2) according to modified aschworth scale (MAS).
- •Patients with sufficient cognitive abilities that enables them to understand and follow instructions (Mini-Mental Scale \>24).
- •Patient who understand the study process and signed the informed consent form.
- •Patient with stroke more than 3 months ago.
- •8\. Patient with shoulder pain and limited range of motion (ROM) or loss of motion in the proximal arm on the hemiplegic side.
Exclusion Criteria
- •1\. Patients who cannot express their own pain intensity.
- •Patients with a history of trauma or surgery to the shoulder on the affected side.
- •3\. Patients with history of oral NSAIDs 3 days before this study or take warfarin medication with an international normalized ratio above 4.
- •4\. Patients with a history of shoulder pain before the stroke.
- •Patients who have received a previous shoulder intra-articular injection or other interventions on the affected shoulder within one month before rESWT.
- •7\. Patients with cardiac pacemaker.
- •Patients who have osteoporosis.
- •Patients with psychological problems.
Outcomes
Primary Outcomes
The pain pressure threshold (PPT) assessment by using pressure algometer procedures
Time Frame: Baseline
Pain pressure threshold measurement will be obtained in the same order for all patients.The pressure will be applied with 0.785 cm2 rubber tip at a rate of 1 kg/cm2/sec 27 at the site of measurement. The measurement will at the mid-belly of the deltoid of the painful shoulder. The tip of the algometer will be positioned on this specific point. By pushing the algometer, the force will be applied to the mid belly of deltoid gradually increased. The patients will not allowed to see the algometer display in any moment, and, as soon as the volunteers experience a painful sensation, they say "stop", the algometer will immediately release and the force (in Kpa) will be read from the display. Pain pressure threshold will be measured three times per patient on each site and the average will be calculated and will be used for analysis.
Secondary Outcomes
- Shoulder range of motion assessment by using magnetic inclinometer(Baseline)