Ultrasonographic Assessment of Painful and Stiff Hemiplegic Shoulder in Terms of Adhesive Capsulitis
NCT ID: NCT04613648
Last Updated: 2024-03-18
Study Results
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Basic Information
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TERMINATED
16 participants
OBSERVATIONAL
2020-10-07
2023-10-06
Brief Summary
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Detailed Description
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Although a relationship has been reported between stroke and adhesive capsulitis, it is controversial whether the underlying cause of the capsular changes seen in hemiplegic shoulder pain is true adhesive capsulitis. Although these capsular changes and joint limitations in patients with hemiplegic shoulder pain may theoretically be related to idiopathic adhesive capsulitis, secondary causes including spasticity, contracture, fibrosis due to lack of movement, rotator cuff lesions, and glenohumeral subluxation have also been emphasized as a cause of the capsular restriction. Although there have been a limited number of studies, ultrasound, which has been reported as a sensitive and specific method in the diagnosis of true (idiopathic) adhesive capsulitis, has not yielded similar results to arthrography and MRI in demonstrating fibrotic and adhesive changes in the glenohumeral capsule in stroke patients with hemiplegic shoulder pain and stiffness. Because ultrasonographic examinations are mostly focused on rotator cuff tendons, bicipital tendon, and subacromial bursa, lack of detailed examination in terms of adhesive capsulitis may be one of the underlying reasons for this inconsistency. In this context, this study aims to investigate ultrasonographic structural changes that may be associated with adhesive capsulitis in subacute stroke patients with painful and stiff hemiplegic side shoulder.
Conditions
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Study Design
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CASE_CONTROL
CROSS_SECTIONAL
Study Groups
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Group A
Painful and stiff hemiplegic side shoulders of stroke patients
Imaging
Ultrasonographic imaging of the shoulder
Group B
Asymptomatic non-hemiplegic side shoulders of stroke patients
Imaging
Ultrasonographic imaging of the shoulder
Group C
Non-dominant side shoulders of healthy volunteers
Imaging
Ultrasonographic imaging of the shoulder
Interventions
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Imaging
Ultrasonographic imaging of the shoulder
Eligibility Criteria
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Inclusion Criteria
* Stroke duration from 1 month to 6 months
* To be able to communicate well
* Presence of hemiplegic side shoulder pain
* Limitation of passive glenohumeral joint abduction on the hemiplegic side
* Limitation of passive glenohumeral joint external rotation of the hemiplegic side
Exclusion Criteria
* Only presence of one of the pain or stiffness in the hemiplegic side shoulder
* History of pre-stroke shoulder pain independent from the side of shoulder
* Pain and / or stiffness in the non-hemiplegic side shoulder
* History of shoulder injury (independent from the side)
* History of upper extremity surgery (independent from the side)
* Weakness in both upper extremities
* Existence of non-stroke diseases (osteoarthritis, inflammatory arthritis, etc.) that may cause restriction in the shoulder joint
* Inability to communicate properly
* \<40 years old
* Hand pain and/or swelling in addition to shoulder pain and stiffness,
40 Years
ALL
Yes
Sponsors
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Izmir Katip Celebi University
OTHER
Responsible Party
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ilker şengül
Principal Investigator
Principal Investigators
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İlker Şengül, M.D.
Role: PRINCIPAL_INVESTIGATOR
İzmir Katip Çelebi University
Locations
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İlker Şengül
Izmir, , Turkey (Türkiye)
Countries
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References
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Homsi C, Bordalo-Rodrigues M, da Silva JJ, Stump XM. Ultrasound in adhesive capsulitis of the shoulder: is assessment of the coracohumeral ligament a valuable diagnostic tool? Skeletal Radiol. 2006 Sep;35(9):673-8. doi: 10.1007/s00256-006-0136-y. Epub 2006 May 25.
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Other Identifiers
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2020-GOKAE-0356
Identifier Type: -
Identifier Source: org_study_id
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