Dry Needling Treatment in Hemiplegic Shoulder Pain
Study Details
Study Description
Brief Summary
To evaluate the efficacy of dry needling therapy on shoulder pain and upper extremity functions in hemiplegic patients.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
The myofascial trigger point is an overlooked issue in hemiplegic shoulder pain. Our aim in this study is to evaluate whether dry needling treatment contributes to the conventional treatment approach.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Active Comparator: Conventional therapy It covers the classical physical therapy modalities that patients will take for shoulder pain. |
Other: Conventional physical therapy
Conventional physical therapy: The patients received physical therapy to the shoulder, transcutaneous electrical nerve stimulation, and stretching and strengthening exercises (5 days per week for three weeks in a total of 15 sessions).
|
| Active Comparator: Conventional therapy plus dry needling It covers the classical physical therapy modalities that patients will take for shoulder pain. It also refers to the dry needling treatment to be applied. |
Other: Conventional physical therapy plus dry needling
Conventional physical therapy plus dry needling: The patients received physical therapy to the shoulder, including transcutaneous electrical nerve stimulation, stretching, and strengthening exercise (5 days per week for three weeks in a total of 15 sessions). And also, a total of 3 dry needling sessions were applied at 7-day intervals.
|
Outcome Measures
Primary Outcome Measures
- Change in visual analog scale score [3 months]
It grades pain of the patients between 0 and 10 points. Higher scores represent a worse outcome
- Change in range of motion [3 months]
Shoulder range of motion of the patients is evaluated in abduction, flexion, and external rotation. Higher measurements represent a better outcome
- Change in Quick The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire score [3 months]
The Quick DASH is an 11-item measure of the magnitude of disability and symptoms specific to the upper extremity. The first 6 items measure the degree of difficulty in performing various physical activities because of a shoulder, arm, and hand problem, and the other 5 items related to quality of sleeping, social activities, and daily activities, and the intensity of pain and numbness.
- Change in Fugl-Meyer Assessment score [3 months]
The FM scale is a 226-point multi-item Likert-type scale developed as an evaluative measure of recovery from hemiplegic stroke. It is divided into 5 domains: motor function, sensory function, balance, joint range of motion, and joint pain. Each domain contains multiple items, each scored on a 3-point ordinal scale (0 = cannot perform, 1 = performs partially, 2 = performs fully).
Eligibility Criteria
Criteria
Inclusion Criteria:
- The patients included in the study were aged between 30-60 years, with at least a 3-month history of hemorrhagic or ischemic stroke.
Exclusion Criteria:
-
if they had severe difficulty in communication
-
had received a corticosteroid injection within 3 months prior to enrollment
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had bleeding diathesis, a history of shoulder surgery
-
a preexisting painful shoulder disorder, or had a cardiac pacemaker.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Kars State Hosital | Kars | Turkey | ||
| 2 | Kars State Hospital | Kars | Turkey |
Sponsors and Collaborators
- Kars State Hospital
Investigators
- Principal Investigator: Fatih Bagcier, Kars State Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2015-KAEK-43-20-12