Myofascial Trigger Points Release With Shockwave Therapy on Pain and Function of Shoulder Hand Syndrome in Stroke Patients With Diabetic Neuropathy
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- October 6 University
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- - Complex Regional Pain Syndrome (CRPS) severity score
- Status
- Completed
- Last Updated
- 5 years ago
Overview
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.
Investigators
Lama Saad El-Din Mahmoud
Lecturer of physical therapy, Department of Neuromuscular disorders and its surgery, faculty of physical therapy, october 6 univerisity
October 6 University
Eligibility Criteria
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.
Outcomes
Primary Outcomes
- Complex Regional Pain Syndrome (CRPS) severity score
Time Frame: 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
Time Frame: 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
Time Frame: 4 weeks
The figure-of-eight technique utilizing tape measurement for hand size