High-intensity Laser Therapy (HILT) or Conventional Combined Physical Therapy in the Management of Hemiplegic Shoulder Pain ; Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 42
- 试验地点
- 2
- 主要终点
- arm motor ability test
研究概览
简要总结
Background: Hemiplegic shoulder pain is one of the most common complications after a stroke. There are many treatment strategies for this complication. High-intensity laser therapy (HILT) is a new treatment option, and we aimed to compare the effectiveness of conventional electrotherapy agents and HILT in this study.
Patients and methods: Participants (N = 42) were randomized into the HILT (n = 21) and TENS+US (n = 21) groups. Group 1 received 3 sessions of HILT per week for 3 weeks in addition to a therapeutic exercise program that performed 5 sessions per week for 3 weeks. Group 2 received conventional physical therapy and a therapeutic exercise program for HSP of 5 sessions per week for 3 weeks. Patients were assessed before and after treatment on the on the 6th week for radiological evaluation with ultrasonography and for clinical parameters with VAS, AMAT, MRS, and FIQ scores.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosed case of HSP,
- •First-ever unilateral stroke,
- •Visual analog scale (VAS) ≥30 mm,
- •Time since stroke ≥6 months,
- •Time since last local intervention treatment >6 months.
排除标准
- •A history of shoulder pain prior to stroke;
- •An unstable medical condition or uncontrolled systemic diseases (such as respiratory failure, congestive heart failure, liver and kidney dysfunction, or any other disorders affecting neuromuscular function);
- •Bilateral hemiplegia;
- •Cardiac pacemakers;
- •Disturbance of awareness, severe visual and cognitive impairment, Mini-Mental State Examination score: <23 points
结局指标
主要结局
arm motor ability test
时间窗: before treatment(baseline), after treatment
this scale asses the upper extremity motor function improvement and daily living activity level , between 0 is the worst score, mean is cant do/use, 5 is the best score.(between 0-5)
modified ranking scale
时间窗: before treatment(baseline), after treatment
determines the patient's addiction level and evaluates disability; the score is between 0 and 6, where 0 is complete well-being, 5 is very severe disorder and 6 is full dependency
visual analog scale
时间窗: before treatment(baseline), after treatment
pain level, between 0-10, 0 is no pain, 10 is very severe pain
functional indepandance measures
时间窗: before treatment(baseline), after treatment
functional capacity assessment scale;and despite indepandance of daily living activity 0-126, high score is better function
次要结局
- ultrasonographic imaging(before treatment(baseline), after treatment)