Effects of Hemiplegic Shoulder Pain

Ankara Yildirim Beyazıt University63 enrolled

Overview

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.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Stroke Shoulder Pain

Interventions

Disabilities of the Arm, Shoulder, and Hand QuestionnaireOTHER

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 TestOTHER

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 TestOTHER

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 IndexOTHER

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".

Eligibility

Sex: ALLMin age: 18 YearsMax age: 90 Years

Medical Language ↔ Plain English

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

Locations (1)

Ankara Yıldırım Beyazıt University, Faculty of Health Sciences,Department of Physiotherapy and Rehabilitation

Ankara, Esenboğa, Turkey (Türkiye)

Outcomes

Primary Outcomes

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.

Time frame: one hour

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.

Time frame: one hour

Nine Hole Peg Test

In the Nine hole peg test, fine motor skills of the upper extremities decrease as time goes on.

Time frame: one hour

Secondary Outcomes

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"

Time frame: one hour

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.

Time frame: one hour