Effects of Hemiplegic Shoulder Pain

Stroke Clinical Trial

Official title:

Investigation of Upper Extremity Function, Sleep Quality, and Functional Independence in Patients With Hemiplegic Shoulder Pain

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05883475
• Other study ID #: 963
• Status: Completed
• Start date: June 1, 2022
• Est. completion date: October 30, 2022

Study information

• Verified date: May 2023
• Source: Ankara Yildirim Beyazit University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 63
• Est. completion date: October 30, 2022
• Est. primary completion date: October 15, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 90 Years

Eligibility

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

Related Conditions & MeSH terms

• Shoulder Pain
• Stroke

Intervention

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.
• 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.
• 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
• 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".
• 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.

Locations

Country	Name	City	State
Turkey	Ankara Yildirim Beyazit University, Faculty of Health Sciences,Department of Physiotherapy and Rehabilitation	Ankara	Esenboga

Sponsors (1)

Lead Sponsor	Collaborator
Ankara Yildirim Beyazit University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	DASH	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.	one hour
Primary	AMAT	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.	one hour
Primary	Nine Hole Peg Test	In the Nine hole peg test, fine motor skills of the upper extremities decrease as time goes on.	one hour
Secondary	Sleep Qaulity	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"	one hour
Secondary	Functional Independence	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.	one hour