The goal of this clinical trial is to study the efficacy of repetitive peripheral magnetic stimulation (rPMS) on shoulder subluxation in subacute stroke patients. The main questions it aims to answer are Could rPMS reduce shoulder subluxation and improve upper-limb motor recovery in subacute stroke patients? Researchers will compare real rPMS to sham rPMS to see if rPMS works to improve shoulder subluxation and upper-limb motor recovery in subacute stroke patients. Participants will: * Get real rPMS or sham rPMS for 20 minutes, 5 days a week for 2 weeks * Get conventional rehabilitation program 5 days a week for 2 weeks * Follow-up at 2-, 4-, 8- and 12-weeks after first day of treatment
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
20
a non-invasive method of delivering a rapidly pulsed, high-intensity magnetic field to peripheral muscles
The same coil as real rPMS, but in a position perpendicular to the skin
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Ratchathewi, Bangkok, Thailand
Acromiohumeral interval
the shortest distance between two parallel lines drawn from the inferior border of the acromion and the superior border of the humerus head on the anteroposterior shoulder x-ray
Time frame: pretreatment, 2-, 4-, 8- and 12-weeks after first day of treatment
Fugl-Meyer assessment of upper extremities (FMA-UE)
a stroke-specific, performance-based impairment index. It is designed to assess motor functioning, balance, sensation and joint functioning in patients with post-stroke hemiplegia. Maximum score for upper extremity is 66 points.
Time frame: pretreatment, 2-, 4-, 8- and 12-weeks after first day of treatment
Modified Ashworth Scale (MAS)
a grade of spasticity from a 0-4 ordinal scale. The grade is assigned by moving a joint/muscle through a high velocity quick stretch.
Time frame: pretreatment, 2-, 4-, 8- and 12-weeks after first day of treatment
Numeric Pain Rating Scale (NRS)
Measuring of pain intensity, respondents are asked to choose the single number that best represents their pain intensity, on a 0 (No Pain) to 10 (Worst pain) scale.
Time frame: pretreatment, 2-, 4-, 8- and 12-weeks after first day of treatment
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