A comparison of medium and long-term effect of different therapeutic modalities in chronic hemiplegic shoulder pai

Not Applicable

Completed

• Conditions: Self-perceived pain; Functionality in daily life activities; Hemiplegic shoulder pain; Physical Medicine / Rehabilitation - Physiotherapy; Musculoskeletal - Other muscular and skeletal disorders; Neurological - Other neurological disorders

• Registration Number: ACTRN12615001197527
• Lead Sponsor: Hospital Universitario Virgen Macarena

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2015-11-04
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

(a) age 35-80 years;
(b) hospitalization for a cerebrovascular accident of the middle cerebral artery;
(c) presence of hypertonic symptoms in the affected upper extremity within 24 hours poststroke, with a muscle assessment of 0 in deltoid muscles according to the Daniels scale;
(d) score of 4 on item 5 of the NIH stroke scale (equivalent to absence of movement or motor activity) at 24 hours from the stroke episode, and
(e) favorable family environment (subjects living in homes, supervised housing or destructured families were excluded).

Exclusion Criteria

Subjects will be excluded from the study in any of the following circumstances:
(a) prior disorders of the affected shoulder joint (fractures, surgical procedures);
(b) skin alterations in the area to be treated;
(c) presence of voluntary activity, even if minimal, in the affected shoulder within 24 hours poststroke;
(d) cognitive impairment;
(e) pacemaker user;
(f) significant health problems or general deterioration impeding their adherence to the intervention protocol;
(g) shoulder pain previous to stroke, and
(h) previous physiotherapy treatment in the affected shoulder within two months prior to data collection.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Shoulder pain perception as assessed by a Visual Analogue Scale (VAS)<br><br>The VAS allows us to know the intensity of pain perceived by the subject on a 100-mm horizontal or vertical line, where 0 is the total absence of pain and 100 is the worst pain imaginable. This is considered to be an effective, accurate, sensitive, easy to use, and reproducible method to assess acute and chronic pain. Its use does not require written or verbal skills and the possibility of misinterpreting the results is very low[The assessements will be made the first, second, third and fourth week after the beggining of the treatment protocol and also three and six months after the baseline measurements <br><br><br>]