The effectiveness of radial Extracorporeal Shock Wave Therapy versus Transcutaneous Electrical Nerve Stimulation in the management of upper limb spasticity in chronic post-stroke hemiplegia: A randomized controlled trial
- Conditions
- stroke
- Registration Number
- SLCTR/2019/040
- Lead Sponsor
- niversity of Peradeniya
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Pending
- Sex
- Not specified
- Target Recruitment
- Not specified
1. Male and female patients aged between 40 to 70 years diagnosed with stroke resulting in hemiplegia more than six months ago
2.Stable spasticity (no variability within two months before recruitment) in upper limb
3. Patients with more than grade three of Modified Ashwath Scale
4. Patients with Voluntary Control Grading from two to four for affected UL
5. Able to maintain standing position for five minutes without manual assistance
6. Able and willing to participate in four weeks study and to sign consent form
1.Patients with reflex sympathetic dystrophy/ severe shoulder subluxation/ shoulder dislocation/ contracture in the affected UL/ fixed deformity of hand/ shoulder hand syndrome
2.Any neurological disorder or pain that might limits arm movement
3. Patients who have received botox injection or acupuncture within past 6 months to the affected UL
4. Complete sensory loss of upper limb
5. Presence of high risk cardiovascular disorders such as myocardial infarction, heart failure
6. Severe hypertension defined as SBP? 180 and or DBP ? 110
7. Presence of convulsions
8. Patients with visual impairment
9. Patients with behavioral problems
10. Already enrolled in some form of physical therapy
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method