Dry Needling Treatment in Hemiplegic Shoulder Pain

Kars State Hospital46 enrolled

Overview

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

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Hemiplegia Shoulder Pain Myofascial Pain

Interventions

Conventional physical therapyOTHER

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 needlingOTHER

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.

Eligibility

Sex: ALLMin age: 30 YearsMax age: 60 Years

Medical Language ↔ Plain English

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.

Locations (2)

Kars State Hosital

Kars, Turkey (Türkiye)

Kars State Hospital

Kars, Turkey (Türkiye)

Outcomes

Primary Outcomes

Change in visual analog scale score

It grades pain of the patients between 0 and 10 points. Higher scores represent a worse outcome

Time frame: 3 months

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

Time frame: 3 months

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.

Time frame: 3 months

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).

Time frame: 3 months

Data from ClinicalTrials.gov

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