MTPr With Shockwave on Pain & Function of SHS in Stroke

Myofascial Trigger Points Release With Shockwave Therapy on Pain and Function of Shoulder Hand Syndrome in Stroke Patients With Diabetic Neuropathy

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.

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.

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.