Effectiveness of a Three-Dimensional Scapular-Humeral Mobilization Technique on Hemiplegic Shoulder Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Measurement of active and passive pain-free shoulder range of motion
研究概览
简要总结
The purpose of this study is to determine if a specific stretching and strengthening protocol, in addition to current standard treatment, is more effective for treating post-stroke shoulder pain than current standard treatment alone.
详细描述
Current standard treatment of post-stroke shoulder pain includes joint protection (i.e., slings and protective positioning) and stretching/strengthening exercises through a pain-free range. Although the added movement of the shoulder blade when moving the post-stroke arm has been recommended in the literature, no studies to date have been found which directly looks at the impact of providing synchronized three-dimensional scapular and humeral movement during therapy. Due to the integral relationship between the scapula and the humerus during movement, it is hypothesized that an increase in 3-dimensional shoulder blade mobility in the painful post-stroke shoulder will contribute to increased pain-free 3-dimensional arm movement. This double-blind randomized-controlled study aims to investigate the effectiveness of this 3-D approach at addressing post-stroke shoulder pain.
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
- Double (Participant, Outcomes Assessor)
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
- •diagnosis of shoulder pain secondary to altered alignment and/or neuro-muscular movement patterns post-stroke;
- •medically stable and 2-24 months post onset of stroke;
- •between stages of 2-5 of the Chedoke-McMaster stages of upper extremity motor recovery;
- •not currently receiving any other active neuro-rehabilitation intervention to promote stroke recovery;
- •cognitively able to provide informed consent, follow specific testing commands, and communicate their level of pain during assessment and treatment.
排除标准
- •a history of shoulder pain prior to the onset of the stroke;
- •shoulder pain which is secondary to any history of trauma, fractures, arthritis or joint instability of the neck, spine, ribs, or shoulder girdle before or after the stroke; possible rotator cuff tears;
- •shoulder-hand syndrome; thalamic or central pain; spinal cord pathology; osteoporosis;
- •any medical condition which may affect the ability to participate in an active rehabilitation exercise program (i.e., uncontrolled hypertension or angina).
研究组 & 干预措施
Current Standard Treatment
Current standard treatment for hemiplegic shoulder pain will be provided to this group.
干预措施: Standard education/exercises for hemiplegic shoulder pain (Other)
Standard treatment + study technique
Participants will receive current standard treatment for hemiplegic shoulder pain PLUS an additional stretching/strengthening technique. Both groups will be allotted the same treatment time.
干预措施: Three dimensional Scapular-Humeral Mobilizations (Other)
结局指标
主要结局
Measurement of active and passive pain-free shoulder range of motion
时间窗: one month after intervention
Using a 3-dimensional motion capture system and digitizer system, we will determine degrees of pain-free active and passive movement of the shoulder and arm for each participant. Changes in range of motion between pre and post-treatment will be calculated.
Measurement of active and passive pain-free shoulder range of motion
时间窗: 1 week prior to intervention
Using a 3-dimensional motion capture system and digitizer system, we will determine degrees of pain-free active and passive movement of the shoulder and arm for each participant. Changes in range of motion between pre and post-treatment will be calculated.
Measurement of active and passive pain-free shoulder range of motion
时间窗: 1 week after intervention
Using a 3-dimensional motion capture system and digitizer system, we will determine degrees of pain-free active and passive movement of the shoulder and arm for each participant. Changes in range of motion between pre and post-treatment will be calculated.
次要结局
- Visual Analogue Scale (used to report the degree of pain experienced during different levels of functional reaching)(1 month after intervention)
- Chedoke McMaster Pain Inventory(1 month after intervention)
- Visual Analogue Scale (used to report the degree of pain experienced during different levels of functional reaching)(1 week prior to intervention)
- Chedoke McMaster Pain Inventory(1 week prior to intervention)
- Visual Analogue Scale (used to report the degree of pain experienced during different levels of functional reaching)(1 week after intervention)
- Chedoke McMaster Pain Inventory(1 week after intervention)
研究者
Denyse Richardson
Dr. Denyse Richardson
Toronto Rehabilitation Institute