MTPr With Shockwave on Pain & Function of SHS in Stroke

Stroke Clinical Trial

Official title:

Myofascial Trigger Points Release With Shockwave Therapy on Pain and Function of Shoulder Hand Syndrome in Stroke Patients With Diabetic Neuropathy

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04627636
• Other study ID #: No: P.T.REC/012/002459
• Status: Completed
• Phase: N/A
• Start date: October 1, 2019
• Est. completion date: January 30, 2020

Study information

• Verified date: November 2020
• Source: October 6 University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Background: shoulder-hand syndrome is considered a significant reason for the reduction of upper limb functions after stroke. Purpose: To investigate the influence of Myofascial Trigger Points (MTrPs) release and shockwave therapy on pain and functions of the upper extremity in stroke patients with diabetic neuropathy.

Description:

Methods: two equal groups of thirty stroke patients, divided into, study group: which treated with MTrPs release combined with shockwave therapy and conventional program, while control group: treated with a conventional selected exercise program.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: January 30, 2020
• Est. primary completion date: December 30, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 45 Years to 60 Years

Eligibility

Inclusion Criteria:

• stroke from 4:8 months

• age ranging from 45:60 years

• All the patients were identified with SHS as diagnosed by the Diagnostic criteria for SHS post-stroke 18 and were in stage I of syndrome evolution

Exclusion Criteria:

• any other causes of shoulder pain in the hemiplegic side of the body

• a cognitive impairment

• structured joint deformity in the painful shoulder or hand

• other musculoskeletal disorders of UE.

Related Conditions & MeSH terms

• Diabetic Neuropathies
• Stroke

Intervention

Other:
• Myofascial trigger points pressure (MTrP) release
Myofascial trigger points pressure (MTrP) release technique, the initial step was to recognize and find the trigger points (TP) , and The second step after TP palpation was the MTrP release technique, as follow, by one or both hands, the thumbs or four fingers of the therapist applied a maintained pressure, pushing internal toward the middle
• Shockwave therapy application
The JEST-2000 (JOEUN Medical, Dae-Jeon, South Korea) was used for the ESWT. The application of pressure pulses of ESWT was centered around the flexor muscles with hypertonia
• conventional therapy
Passive ROM exercises performed by the therapist and Bobath Neurodevelopmental Approach (prolonged stretch): The Intervention methods for Bobath involved the activation of key points of control for the reduction of tone

Locations

Country	Name	City	State
Egypt	Lama S Mahmoud	Al Jizah	Select State

Sponsors (1)

Lead Sponsor	Collaborator
October 6 University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	- Complex Regional Pain Syndrome (CRPS) severity score	It is a quantitative index and valid instrument to score and monitor the severity of CRPS and SHS.	4 weeks
Primary	- Figure-of-Eight Method of Measuring Hand Size for hand swelling	The figure-of-eight technique utilizing tape measurement for hand size	4 weeks
Primary	- Visual analogue scale for pain (VAS-P) for pain assessment	The VAS for pain is a valid and reliable assessment of pain intensity, as a straight horizontal line of fixed length (10 cm) considered the simplest VAS.	4 weeks