Skip to main content
OpenTrials
Completed

NCT Number: NCT04627636

MTPr With Shockwave on Pain & Function of SHS in Stroke

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.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Stroke Autonomic Nervous System Diseases Brain Diseases Cardiovascular Diseases Central Nervous System Diseases Cerebrovascular Disorders Complex Regional Pain Syndromes Diabetes Complications Diabetes Mellitus Diabetic Neuropathies Endocrine System Diseases Nervous System Diseases Neuromuscular Diseases Peripheral Nervous System Diseases Reflex Sympathetic Dystrophy Vascular Diseases

Age range

45 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Lama S Mahmoud

Al Jīzah, Select State, Egypt

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

Myofascial trigger points pressure (MTrP) release

Other

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

Other

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

Other

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

Primary outcomes

  1. - Complex Regional Pain Syndrome (CRPS) severity score

    Time frame: 4 weeks

    It is a quantitative index and valid instrument to score and monitor the severity of CRPS and SHS.

  2. - Figure-of-Eight Method of Measuring Hand Size for hand swelling

    Time frame: 4 weeks

    The figure-of-eight technique utilizing tape measurement for hand size

  3. - Visual analogue scale for pain (VAS-P) for pain assessment

    Time frame: 4 weeks

    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.

Sponsors and collaborators

Lead sponsor

October 6 University

Other

Registry information

Official study title

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

Important dates

Study start
2019
Primary completion
2019
Study completion
2020
First posted
Nov 13, 2020
Registry last updated
Nov 13, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.