Dry Needling Treatment in Hemiplegic Shoulder Pain

Shoulder Pain Clinical Trial

Official title:

Does Dry Needling Treatment Make an Extra Contribution to Conventional Treatment in Hemiplegic Shoulder Pain?

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04790071
• Other study ID #: 2015-KAEK-43-20-12
• Status: Completed
• Phase: N/A
• Start date: October 1, 2022
• Est. completion date: April 9, 2023

Study information

• Verified date: June 2023
• Source: Kars State Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

To evaluate the efficacy of dry needling therapy on shoulder pain and upper extremity functions in hemiplegic patients.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 46
• Est. completion date: April 9, 2023
• Est. primary completion date: April 9, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 30 Years to 60 Years

Eligibility

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

• had bleeding diathesis, a history of shoulder surgery

• a preexisting painful shoulder disorder, or had a cardiac pacemaker.

Related Conditions & MeSH terms

• Hemiplegia
• Myofascial Pain
• Shoulder Pain

Intervention

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).
• 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.

Locations

Country	Name	City	State
Turkey	Kars State Hosital	Kars
Turkey	Kars State Hospital	Kars

Sponsors (1)

Lead Sponsor	Collaborator
Kars State Hospital

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in visual analog scale score	It grades pain of the patients between 0 and 10 points. Higher scores represent a worse outcome	3 months
Primary	Change in range of motion	Shoulder range of motion of the patients is evaluated in abduction, flexion, and external rotation. Higher measurements represent a better outcome	3 months
Primary	Change in Quick The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire score	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.	3 months
Primary	Change in Fugl-Meyer Assessment score	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).	3 months