Effect of Magnetic Therapy on Sonographic Findings , Pain and Function in Hemiplegic Shoulder Pain Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Sonographic findings
研究概览
简要总结
The purpose of the current study will be focused on the following issues. Evaluation of the effect of magnetic therapy on sonographic findings ,the pressure pain threshold and disability in stroke hemiplegic shoulder.
详细描述
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.
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
- Single (Participant)
盲法说明
The patients in control group will be treated by sham radial extracorporeal shock wave therapy in addition to, the same design physical therapy program. Stimulation will not deliver as the transmitter head will be removed.
The patients will receive the same frequency of air pressure and
入排标准
- 年龄范围
- 30 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient's age was between 40 to 50 years old with
- •mild spasticity (grade 1, +1) according to modified Ashworth scale (MAS)
- •All conducted patients experienced a single stroke more than six months with cognitive capacity that enables them to comprehend and follow the instructions (Mini-Mental Scale score > 24).
排除标准
- •history of shoulder pain, trauma, or surgery before the stroke; current treatment with warfarin and an international normalized ratio greater than 4.0; use of oral non steroidal anti inflammatory drugs within 3 days before enrolment; or intra articular injections within the previous month. Patients who were unable to report their pain intensity, those with a cardiac pacemaker, and those with clinically significant osteoporosis were also excluded
研究组 & 干预措施
control group
The patients in this group will be treated by sham magnetic therapy
干预措施: magnetic therapy (Device)
study group
Patients will received low frequency high intensity magnetic therapy
干预措施: magnetic therapy (Device)
结局指标
主要结局
Sonographic findings
时间窗: Baseline
Shoulder structural changes on the hemiplegic side were evaluated using a Samsung HS70A ultrasonography system (Samsung Medison, Seoul, Korea). Examinations were performed with the patient seated on a chair, and the affected shoulder was systematically scanned. The protocol included assessment of four major tendons long head of the biceps brachii, supraspinatus, infraspinatus, and subscapularis-as well as the glenohumeral joint and the presence of adhesive capsulitis, the latter determined by measuring coracohumeral ligament thickness. Ultrasound (USS) abnormalities were defined as follows. (a) A full-thickness rotator cuff tear was diagnosed when a full-thickness hypoechoic defect was observed, hyaline cartilage was visible, or there was a heterogeneous hypoechoic appearance of the cuff due to deltoid or subacromial-subdeltoid bursal herniation into the tendon. (b) A partial-thickness tear was identified as a hypoechoic defect within the tendon greater than 3 mm, or along the articul
次要结局
- Shoulder range of motion assessment by using magnetic inclinometer(Baseline)
研究者
Ibrahim Ahmed Ibrahim Abu Ella
assistant lecturer
Delta University for Science and Technology