Comparing Mobilization Techniques for the Hemiplegic Shoulder

Not Applicable

Completed

• Conditions: Hemiplegic Shoulder; Mobility Limitation
• Interventions: Other: Glenohumeral mobilization; Other: Scapular mobilization

• Registration Number: NCT03211364
• Lead Sponsor: University Ghent

Brief Summary

One of the main complications after stroke is hemiplegic shoulder pain. It is known that one of the most frequent causes of hemiplegic shoulder pain is a restricted range of motion in the shoulder joint. Therefore, it is necessary to preserve the passive range of motion by using the most optimal mobilization technique. The aim of this study is to compare 2 different techniques in order to document their influence on shoulder range of motion and shoulder pain in stroke patients.

Detailed Description

Not available

Study Timeline

• Study Start: 2016-05-01
• Study First Submitted: 2017-06-13
• Study First Submitted QC: 2017-07-04
• Study First Posted: 2017-07-07
• Status Verified: 2017-11
• Primary Completion: 2017-11-07
• Study Completion: 2017-11-07
• Last Update Submitted: 2017-11-22
• Last Update Posted: 2017-11-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 11

Inclusion Criteria

• First stroke
• Upper limb impairment

Exclusion Criteria

• Shoulder pain on the hemiplegic side with onset before the stroke
• Surgery at the hemiplegic shoulder
• Active movement possible within the whole range of motion

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Angular mobilization with soft tissue techniques	Glenohumeral mobilization	Angular mobilization performed in the scapular plane. Additional soft tissue techniques to eliminate limitations created by tensed muscles in order to perform capsular stretch.
Angular mobilization	Glenohumeral mobilization	Angular mobilization of the shoulder joint in the frontal plane.
Scapular mobilization	Scapular mobilization	Scapular mobilization without glenohumeral movement.

Primary Outcome Measures

Name	Time	Method
Shoulder pain using visual analogue scale	Measuring every 4 weeks up to 12 weeks after admission to the study protocol	Shoulder pain during rest, night and activities by using visual analogue scale (0-10)
Range of motion of the shoulder using goniometry	Measuring every 4 weeks up to 12 weeks after admission to the study protocol	Range of motion of the shoulder joint is measured using a goniometer

Secondary Outcome Measures

Name	Time	Method
Trunk Impairment Scale to assess trunk stability	Measuring every 4 weeks up to 12 weeks after admission to the study protocol	Trunk stability using the Trunk Impairment Scale
Spasticity of the shoulder muscles using the Modified Ashworth Scale	Measuring every 4 weeks up to 12 weeks after admission to the study protocol	Spasticity of upper limb muscles related to the shoulder using Modified Ashworth Scale
Fugl-Meyer Assessment - upper limb part to assess voluntary muscle activity	Measuring every 4 weeks up to 12 weeks after admission to the study protocol	voluntary muscle activity upper limb using the upper limb part of the Fugl-Meyer Scale

Trial Locations

Locations (1)

Vakgroep Revaki - Ghent University; 🇧🇪 Ghent, Belgium