Effects of Hemiplegic Shoulder Pain
Study Details
Study Description
Brief Summary
The purposes of this study is to investigate the differences in upper extremity function, sleep quality, and functional independence between patients with and without hemiplegic shoulder pain (HSP).
HSP is defined as musculoskeletal pain in the affected shoulders of individuals after stroke.Numerous studies have found an association between post-stroke shoulder pain and range of motion, sensory impairment, subluxation, spasticity, and complex regional pain syndrome. HSP is a problem that, starting from mild discomfort, leads to gradual functional impairment, ultimately resulting in increasing disability and decreased independence.In the literature, the relationship between HSP and upper extremity function, functional independence, and sleep quality has not been clarified.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Patients with shoulder pain Those who scored above "0" for shoulder pain on the Visual Analog Scale (VAS) were assigned to the group with shoulder pain |
Other: Disabilities of the Arm, Shoulder, and Hand Questionnaire
Upper limb function was assessed with the Turkish version of the Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH). The questionnaire DASH is a self-report instrument with 30 items. The total score ranges from 0 to 100, with higher scores indicating a worse upper limb function.
Other: Arm Motor Ability Test
The test assesses hemiparetic upper extremity functional tasks.The increase in the scores of both subparameters of the scale, which is composed of the parameters of functional ability and quality of movement, indicates an improvement in the motor functions of the upper limbs.
Other: Nine Hole Peg Test
Fine motor skills of the upper extremities were assessed.The patient was asked to insert the nine sticks in the box on the table into the holes in the other box as quickly as possible and then remove them immediately. As time increases, fine motor skills of the upper extremities decrease
Other: Pittsburg Sleep Quality Index
Sleep quality was assessed using the this test.This scale, which provides a quantitative measure of sleep quality, is a 19-item self-report scale. The total score greater than 5 indicates "poor sleep quality".
Other: Functional Independence Measure
This test assessed functional capacity in activities of daily living.The higher a person's score, the higher the level of independence.
|
| Patients without shoulder pain Those who scored "0" for shoulder pain on the Visual Analog Scale (VAS) were assigned to the group without shoulder pain |
Other: Disabilities of the Arm, Shoulder, and Hand Questionnaire
Upper limb function was assessed with the Turkish version of the Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH). The questionnaire DASH is a self-report instrument with 30 items. The total score ranges from 0 to 100, with higher scores indicating a worse upper limb function.
Other: Arm Motor Ability Test
The test assesses hemiparetic upper extremity functional tasks.The increase in the scores of both subparameters of the scale, which is composed of the parameters of functional ability and quality of movement, indicates an improvement in the motor functions of the upper limbs.
Other: Nine Hole Peg Test
Fine motor skills of the upper extremities were assessed.The patient was asked to insert the nine sticks in the box on the table into the holes in the other box as quickly as possible and then remove them immediately. As time increases, fine motor skills of the upper extremities decrease
Other: Pittsburg Sleep Quality Index
Sleep quality was assessed using the this test.This scale, which provides a quantitative measure of sleep quality, is a 19-item self-report scale. The total score greater than 5 indicates "poor sleep quality".
Other: Functional Independence Measure
This test assessed functional capacity in activities of daily living.The higher a person's score, the higher the level of independence.
|
Outcome Measures
Primary Outcome Measures
- DASH [one hour]
Upper limb functions was assessed with DASH, AMAT, and Nine Hole Peg Test.The DASH total score ranges from 0 to 100, with higher scores indicating a worse upper limb function.
- AMAT [one hour]
The increase in the scores of both subparameters of the AMAT scale, which is composed of the parameters of functional ability and quality of movement, indicates an improvement in the motor functions of the upper limbs.
- Nine Hole Peg Test [one hour]
In the Nine hole peg test, fine motor skills of the upper extremities decrease as time goes on.
Secondary Outcome Measures
- Sleep Qaulity [one hour]
Sleep quality was assessed using the Pittsburg Sleep Quality Index (PSQI). The total score ranges from 0 to 21, and a total score greater than 5 indicates "poor sleep quality"
- Functional Independence [one hour]
The Functional Independence Measure (FIM) assessed functional capacity in activities of daily living. The FIM Consists of 6 parts and analyzes motor and cognitive functions. The higher a person's score, the higher the level of independence.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Over 18 years old
-
Have had a stroke at least three months ago
-
Volunteers who can understand or communicate test instructions
Exclusion Criteria:
-
Having a history of shoulder surgery
-
Having serious shoulder problems before stroke
-
Having other neurological conditions
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Ankara Yıldırım Beyazıt University, Faculty of Health Sciences,Department of Physiotherapy and Rehabilitation | Ankara | Esenboğa | Turkey | 06970 |
Sponsors and Collaborators
- Ankara Yildirim Beyazıt University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 963