MTPr With Shockwave on Pain & Function of SHS in Stroke

October 6 University30 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Stroke

Interventions

Myofascial trigger points pressure (MTrP) releaseOTHER

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 applicationOTHER

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 therapyOTHER

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

Eligibility

Sex: ALLMin age: 45 YearsMax age: 60 Years

Medical Language ↔ Plain English

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.

Locations (1)

Lama S Mahmoud

Al Jīzah, Select State, Egypt

Outcomes

Primary Outcomes

- 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.

Time frame: 4 weeks

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

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

Time frame: 4 weeks

- 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.

Time frame: 4 weeks

Data from ClinicalTrials.gov

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