MTPr With Shockwave on Pain & Function of SHS in Stroke

NCT ID: NCT04627636

Last Updated: 2020-11-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-01

Study Completion Date

2020-01-30

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Stroke

Keywords

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Stroke Diabetic Neuropathy Shoulder hand syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

study group: which treated with MTrPs release combined with shockwave therapy and conventional program, while control group: treated with a conventional selected exercise program
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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study group

which treated with MTrPs release combined with shockwave therapy and conventional program

Group Type EXPERIMENTAL

Myofascial trigger points pressure (MTrP) release

Intervention Type OTHER

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 application

Intervention Type OTHER

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 therapy

Intervention Type OTHER

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

control group

which treated with conventional physical therapy program

Group Type EXPERIMENTAL

conventional therapy

Intervention Type OTHER

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

Interventions

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Myofascial trigger points pressure (MTrP) release

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

Intervention Type OTHER

Shockwave therapy application

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

Intervention Type OTHER

conventional therapy

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

Intervention Type OTHER

Eligibility Criteria

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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.
Minimum Eligible Age

45 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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October 6 University

OTHER

Sponsor Role lead

Responsible Party

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Lama Saad El-Din Mahmoud

Lecturer of physical therapy, Department of Neuromuscular disorders and its surgery, faculty of physical therapy, october 6 univerisity

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Lama S Mahmoud

Al Jīzah, Select State, Egypt

Site Status

Countries

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Egypt

Other Identifiers

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No: P.T.REC/012/002459

Identifier Type: -

Identifier Source: org_study_id