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One of the main complications after stroke is hemiplegic shoulder pain. It is known that one of the most frequent causes of hemiplegic shoulder pain is a restricted range of motion in the shoulder joint. Therefore, it is necessary to preserve the passive range of motion by using the most optimal mobilization technique. The aim of this study is to compare 2 different techniques in order to document their influence on shoulder range of motion and shoulder pain in stroke patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Angular mobilization | Active Comparator | Angular mobilization of the shoulder joint in the frontal plane. |
|
| Angular mobilization with soft tissue techniques | Active Comparator | Angular mobilization performed in the scapular plane. Additional soft tissue techniques to eliminate limitations created by tensed muscles in order to perform capsular stretch. |
|
| Scapular mobilization | Placebo Comparator | Scapular mobilization without glenohumeral movement. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Glenohumeral mobilization | Other | Comparing the effect of angular mobilization in frontal or scapular plane and of providing soft tissue techniques on hemiplegic shoulder range of motion and pain. |
| Measure | Description | Time Frame |
|---|---|---|
| Range of motion of the shoulder using goniometry | Range of motion of the shoulder joint is measured using a goniometer | Measuring every 4 weeks up to 12 weeks after admission to the study protocol |
| Shoulder pain using visual analogue scale | Shoulder pain during rest, night and activities by using visual analogue scale (0-10) | Measuring every 4 weeks up to 12 weeks after admission to the study protocol |
| Measure | Description | Time Frame |
|---|---|---|
| Spasticity of the shoulder muscles using the Modified Ashworth Scale | Spasticity of upper limb muscles related to the shoulder using Modified Ashworth Scale | Measuring every 4 weeks up to 12 weeks after admission to the study protocol |
| Trunk Impairment Scale to assess trunk stability |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Dirk Cambier, Prof | University Ghent | Study Chair |
| Kristine Oostra, Dr | University Hospital, Ghent | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vakgroep Revaki - Ghent University | Ghent | 9000 | Belgium |
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| ID | Term |
|---|---|
| D051346 | Mobility Limitation |
| ID | Term |
|---|---|
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Patients do not know what are the intervention techniques or what is the control technique.
| Scapular mobilization | Other |
|
Trunk stability using the Trunk Impairment Scale |
| Measuring every 4 weeks up to 12 weeks after admission to the study protocol |
| Fugl-Meyer Assessment - upper limb part to assess voluntary muscle activity | voluntary muscle activity upper limb using the upper limb part of the Fugl-Meyer Scale | Measuring every 4 weeks up to 12 weeks after admission to the study protocol |