MTPr With Shockwave on Pain & Function of SHS in Stroke

Not Applicable

Completed

• Conditions: Stroke
• Interventions: Other: Myofascial trigger points pressure (MTrP) release; Other: Shockwave therapy application; Other: conventional therapy

• Registration Number: NCT04627636
• Lead Sponsor: October 6 University

Brief Summary

Background: shoulder-hand syndrome is considered a significant reason for the reduction of upper limb functions after stroke. Purpose: To investigate the influence of Myofascial Trigger Points (MTrPs) release and shockwave therapy on pain and functions of the upper extremity in stroke patients with diabetic neuropathy.

Detailed Description

Methods: two equal groups of thirty stroke patients, divided into, study group: which treated with MTrPs release combined with shockwave therapy and conventional program, while control group: treated with a conventional selected exercise program.

Study Timeline

• Study Start: 2019-10-01
• Primary Completion: 2019-12-30
• Study Completion: 2020-01-30
• Status Verified: 2020-11
• Study First Submitted: 2020-11-08
• Study First Submitted QC: 2020-11-08
• Last Update Submitted: 2020-11-08
• Study First Posted: 2020-11-13
• Last Update Posted: 2020-11-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• stroke from 4:8 months
• age ranging from 45:60 years
• All the patients were identified with SHS as diagnosed by the Diagnostic criteria for SHS post-stroke 18 and were in stage I of syndrome evolution

Exclusion Criteria

• any other causes of shoulder pain in the hemiplegic side of the body
• a cognitive impairment
• structured joint deformity in the painful shoulder or hand
• other musculoskeletal disorders of UE.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
study group	Shockwave therapy application	which treated with MTrPs release combined with shockwave therapy and conventional program
study group	conventional therapy	which treated with MTrPs release combined with shockwave therapy and conventional program
control group	conventional therapy	which treated with conventional physical therapy program
study group	Myofascial trigger points pressure (MTrP) release	which treated with MTrPs release combined with shockwave therapy and conventional program

Primary Outcome Measures

Name	Time	Method
- Complex Regional Pain Syndrome (CRPS) severity score	4 weeks	It is a quantitative index and valid instrument to score and monitor the severity of CRPS and SHS.
- Visual analogue scale for pain (VAS-P) for pain assessment	4 weeks	The VAS for pain is a valid and reliable assessment of pain intensity, as a straight horizontal line of fixed length (10 cm) considered the simplest VAS.
- Figure-of-Eight Method of Measuring Hand Size for hand swelling	4 weeks	The figure-of-eight technique utilizing tape measurement for hand size

Trial Locations

Locations (1)

Lama S Mahmoud; 🇪🇬 Al Jīzah, Select State, Egypt