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To evaluate the efficacy of dry needling therapy on shoulder pain and upper extremity functions in hemiplegic patients.
The myofascial trigger point is an overlooked issue in hemiplegic shoulder pain. Our aim in this study is to evaluate whether dry needling treatment contributes to the conventional treatment approach.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Conventional therapy | Active Comparator | It covers the classical physical therapy modalities that patients will take for shoulder pain. |
|
| Conventional therapy plus dry needling | Active Comparator | It covers the classical physical therapy modalities that patients will take for shoulder pain. It also refers to the dry needling treatment to be applied. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Conventional physical therapy | Other | Conventional physical therapy: The patients received physical therapy to the shoulder, transcutaneous electrical nerve stimulation, and stretching and strengthening exercises (5 days per week for three weeks in a total of 15 sessions). |
| Measure | Description | Time Frame |
|---|---|---|
| Change in visual analog scale score | It grades pain of the patients between 0 and 10 points. Higher scores represent a worse outcome | 3 months |
| Change in range of motion | Shoulder range of motion of the patients is evaluated in abduction, flexion, and external rotation. Higher measurements represent a better outcome | 3 months |
| Change in Quick The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire score | The Quick DASH is an 11-item measure of the magnitude of disability and symptoms specific to the upper extremity. The first 6 items measure the degree of difficulty in performing various physical activities because of a shoulder, arm, and hand problem, and the other 5 items related to quality of sleeping, social activities, and daily activities, and the intensity of pain and numbness. | 3 months |
| Change in Fugl-Meyer Assessment score | The FM scale is a 226-point multi-item Likert-type scale developed as an evaluative measure of recovery from hemiplegic stroke. It is divided into 5 domains: motor function, sensory function, balance, joint range of motion, and joint pain. Each domain contains multiple items, each scored on a 3-point ordinal scale (0 = cannot perform, 1 = performs partially, 2 = performs fully). | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Fatih Bagcier | Kars State Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kars State Hosital | Kars | Turkey (Türkiye) | ||||
| Kars State Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37900876 | Derived | Bagcier F, Yurdakul OV, Deniz G, Akbulut A, Celik Y, Temel MH. Is Dry Needling Treatment an Extra Contribution to Conventional Treatment for Hemiplegic Shoulder Pain? A Prospective, Randomized Controlled Study. Med Acupunct. 2023 Oct 1;35(5):236-245. doi: 10.1089/acu.2023.0060. Epub 2023 Oct 17. |
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Individual participant data will be shared upon reasonable request
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| ID | Term |
|---|---|
| D006429 | Hemiplegia |
| D020069 | Shoulder Pain |
| ID | Term |
|---|---|
| D010243 | Paralysis |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
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| ID | Term |
|---|---|
| D000079245 | Dry Needling |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
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Prospective randomised controlled
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| Conventional physical therapy plus dry needling | Other | Conventional physical therapy plus dry needling: The patients received physical therapy to the shoulder, including transcutaneous electrical nerve stimulation, stretching, and strengthening exercise (5 days per week for three weeks in a total of 15 sessions). And also, a total of 3 dry needling sessions were applied at 7-day intervals. |
|
| Kars |
| Turkey (Türkiye) |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D018771 | Arthralgia |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D010146 | Pain |