Observational Study of Hemiplegic Shoulder Pain After Recent Stroke "SPARS"

Completed

Phase N/A Results N/A

Trial Description

This is an observational study to address the following questions.
1. How many people develop stroke-shoulder pain within 3 days of stroke?
2. How many people have stroke shoulder pain at 8-10 weeks after stroke?
3. Does having stroke-shoulder pain within 3 days of stroke predict the likelihood of having stroke-shoulder pain at 8-10 weeks?
4. What are the best bedside examination tests to identify stroke-shoulder pain?

Detailed Description

Patients will be assessed very early after stroke (within 72 hours) and followed up 8-10 weeks later. Findings will enable planning of fully-powered randomised controlled trials of both, pain-prevention strategies and treatment.

Conditions

Interventions

  • ShoulderQ which is a shoulder pain questionnaire Other
    Intervention Desc: Questions regarding shoulder pain at rest, during movement and at night with visual analogue scales. Factors affecting shoulder pain.
    ARM 1: Kind: Experimental
    Label: Single group baseline and follow-up
    Description: Single group of adult stroke patients assessed using ShoulderQ shoulder pain questionnaire and Clinical shoulder examination at two time-points: Baseline: within 72 hours post-stroke Follow-up: at 8-10 weeks post-stroke
  • Clinical shoulder examination Other
    Intervention Desc: Shoulder-Hand-Score (measuring pain, oedema, passive range of movement), muscle strength (using Oxford scale and National Institute of Health Stroke Scale (NIHSS) upper limbe motor and shoulder joint palpation (recording subluxation and soft-tissue pain).
    ARM 1: Kind: Experimental
    Label: Single group baseline and follow-up
    Description: Single group of adult stroke patients assessed using ShoulderQ shoulder pain questionnaire and Clinical shoulder examination at two time-points: Baseline: within 72 hours post-stroke Follow-up: at 8-10 weeks post-stroke

Trial Design

  • Observation: Cohort
  • Perspective: Prospective
  • Sampling: Non-Probability Sample

Trial Population

Adults within 72 hours of stroke

Outcomes

Type Measure Time Frame Safety Issue
Primary Change from baseline severity of hemiplegic shoulder pain at 8-10 weeks within 72 hours and 8-10 weeks No
Primary Change from baseline Shoulder-Hand-Score at 8-10 weeks within 72 hours and 8-10 weeks No
Primary Change from baseline NIH Stroke Score Upper limb (Motor Arm) at 8-10 weeks within 72 hours and 8-10 weeks No
Primary Change from baseline presence/absence of pain on palpation at 8-10 weeks within 72 hours and 8-10 weeks No
Primary Change from baseline presence/absence of inferior glenohumeral subluxation at 8-10 weeks within 72 hours and 8-10 weeks No

Sponsors