Treatment Protocol for Hemiplegic Shoulder Pain "TPHSP"

Completed

Phase N/A Results N/A

Trial Description

The purpose of this study is to determine if a specific stretching and strengthening protocol, in addition to current standard treatment, is more effective for treating post-stroke shoulder pain than current standard treatment alone.

Detailed Description

Current standard treatment of post-stroke shoulder pain includes joint protection (i.e., slings and protective positioning) and stretching/strengthening exercises through a pain-free range. Although the added movement of the shoulder blade when moving the post-stroke arm has been recommended in the literature, no studies to date have been found which directly looks at the impact of providing synchronized three-dimensional scapular and humeral movement during therapy. Due to the integral relationship between the scapula and the humerus during movement, it is hypothesized that an increase in 3-dimensional shoulder blade mobility in the painful post-stroke shoulder will contribute to increased pain-free 3-dimensional arm movement. This double-blind randomized-controlled study aims to investigate the effectiveness of this 3-D approach at addressing post-stroke shoulder pain.

Conditions

Interventions

  • Standard education/exercises for hemiplegic shoulder pain Other
    Other Names: Current Standard Treatment
    Intervention Desc: Each participant will receive standard education for safe positioning and movement of the painful hemiplegic shoulder. Participants will also be provided with standard stretching and strengthening exercises by and experienced Occupational Therapist who will grade the level of exercise to suit their needs. Intervention will take place 3x/week for 1 hour.
    ARM 1: Kind: Experimental
    Label: Current Standard Treatment
    Description: Current standard treatment for hemiplegic shoulder pain will be provided to this group.
  • Three dimensional Scapular-Humeral Mobilizations Other
    Other Names: Three-Demensional Scapular-Humeral Mobilization Technique; 3-D Scapular-Humeral Mobilizations
    Intervention Desc: Each participant will receive standard education for safe positioning and movement of the painful hemiplegic shoulder. Participants will also be provided with stretching and strengthening exercises by and experienced Occupational Therapist who will grade the level of exercise to suit their needs. Intervention will take place 3x/week for 1 hour. Participants in this group will receive an additional scapular humeral mobilization while simultaneously performing the standard stretching/strengthening exercise protocol.
    ARM 1: Kind: Experimental
    Label: Standard treatment + study technique
    Description: Participants will receive current standard treatment for hemiplegic shoulder pain PLUS an additional stretching/strengthening technique. Both groups will be allotted the same treatment time.

Trial Design

  • Allocation: Randomized
  • Masking: Double Blind (Subject, Outcomes Assessor)
  • Purpose: Treatment
  • Endpoint: Efficacy Study
  • Intervention: Parallel Assignment

Outcomes

Type Measure Time Frame Safety Issue
Primary Measurement of active and passive pain-free shoulder range of motion 1 week prior to intervention No
Secondary Visual Analogue Scale (used to report the degree of pain experienced during different levels of functional reaching) 1 week prior to intervention No
Secondary Chedoke McMaster Pain Inventory 1 week prior to intervention No

Sponsors