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Effects of Hemiplegic Shoulder Pain on Upper Extremity Motor Function, Trunk Control, Fear of Falling, Mobility and Indepence in Activities of Daily Living in Patients With Stroke

11. srpna 2026 aktualizováno: Lütfiye AKKURT, MSc, Kutahya Health Sciences University

Effects of Hemiplegic Shoulder Pain on Body Structure and Activity in Patients With Stroke

This study aimed to examine the effects of hemiplegic shoulder pain on upper extremity motor assessment, trunk control, fear of falling, mobility, and functional indepedence patients with stroke.

Přehled studie

Postavení

Nábor

Podmínky

Mrtvice

Detailní popis

The hemiplegic shoulder pain (HSP) in stroke patients is one of the most common complication in acute and subacute stage. Our study consisted of two groups: with and without hemiplegic shoulder pain. The investigators will investigate whether there are differences between the two groups in terms of upper extremity motor assessment, trunk control, fear of falling, mobility, and functional indepedence. Additionally, the investigators will investigate whether there is a correlation between USPRS and other scales (radiologic shoulder assessments and functional outcome measures) in patients with hemiplegic shoulder pain.

Typ studie

Pozorovací

Zápis (Odhadovaný)

Kontakty a umístění

Tato část poskytuje kontaktní údaje pro ty, kteří studii provádějí, a informace o tom, kde se tato studie provádí.

Studijní kontakt

Jméno: Lütfiye AKKURT, Assistant Professor
Telefonní číslo: 1446 0 (274) 260 00 43
E-mail: lutfiye.akkurt@ksbu.edu.tr

Studijní místa

Turecko (Türkiye)
- Kütahya
  - Kütahya, Kütahya, Turecko (Türkiye), 43100
    - Nábor
    - Kutahya Health Sciences University
    - Kontakt:
      
      Lütfiye AKKURT, Asst.Prof.
      
      Telefonní číslo: 1446 +90 (274) 260 00 43
      
      E-mail: lutfiye.akkurt@ksbu.edu.tr
    - Kontakt:
      
      Fatıma YAMAN, Assoc.Prof.
      
      Telefonní číslo: +90 (274) 260 00 43
      
      E-mail: fatima.yaman@ksbu.edu.tr

Kritéria účasti

Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.

Kritéria způsobilosti

Věk způsobilý ke studiu

Dospělý
Starší dospělý

Přijímá zdravé dobrovolníky

Metoda odběru vzorků

Ukázka pravděpodobnosti

Studijní populace

Patients with stroke

Popis

Inclusion Criteria:

Having a diagnosis of stroke
Aged ≥ 18 years old
Mini Mental State Test score ≥ 24 points
Having a shoulder VAS score of 3 points or higher

Exclusion Criteria:

Having another neurological disease (except for stroke
Having communication deficits or neglect
Having a surgery upper or lower extremity in the last 6 months

Studijní plán

Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.

Jak je studie koncipována?

Detaily designu

Počet skupin / kohort

Kohorty a intervence

Skupina / kohorta
With Hemiplegic Shoulder Pain in Stroke Patients
Without Hemiplegic Shoulder Pain in Stroke Patients

Co je měření studie?

Primární výstupní opatření

Měření výsledku	Popis opatření	Časové okno
Fugl-Meyer Assessment of Upper Extremity Časové okno: Baseline	Fugl-Meyer Assessment scale is an index to assess the sensorimotor impairment in individuals who have had stroke. This scale was first proposed by Axel Fugl-Meyer and his colleagues 1975 as a standardized assessment test for post-stroke recovery in their paper titled "The post-stroke hemiplegic patient: A method for evaluation of physical performance". It is now widely used for clinical assessment of motor function. The Fugl-Meyer Assessment of Upper Extremity motor assessments for the upper (maximum score 66 points) is recommended as core measures to be used in every stroke recovery and rehabilitation trial. Total score is between 0 and 66 points. Higher scores mean a better outcome.	Baseline
Brunnstrom Recovery Stages of Upper Extremity and Hand Časové okno: Baseline	The Brunnstrom recovery stages are a staging system that shows the motor recovery in patients with stroke. The Brunnstrom Recovery Stages of Upper Extremity and Hand consist of six stages. Higher stages indicate better motor function.	Baseline
Trunk Impairment Scale Časové okno: Baseline	The Trunk Impairment Scale is a validated clinical tool and measured motor impairment of the trunk after stroke, assessing static/dynamic sitting balance and coordination patient with stroke. Total score is between 0 and 23 points. Higher scores mean a better outcome	Baseline
Falls Efficacy Scale-International Časové okno: Baseline	The Falls Efficacy Scale-International is a short, easy to administer tool that measures the level of concern about falling during 16 social and physical activities inside and outside the home whether or not the person actually does the activity. The level of concern is measured on a four-point Likert scale (1=not at all concerned to 4=very concerned). Total score is between 16 and 64 points. Lower scores mean a better outcome.	Baseline
Timed Up and Go Test Časové okno: Baseline	The Timed and Up Go is a general physical performance test used to assess mobility, balance and locomotor performance in elderly people with balance disturbances. More specifically, it assesses the ability to perform sequential motor tasks relative to walking and turning. Patients wear their regular footwear and can use a walking aid, if needed. The patient starts in a seated position The patient stands up upon therapist's command: walks 3 meters, turns around, walks back to the chair and sits down. The time stops when the patient is seated. Be sure to document the assistive device used. The total time to perform this task was measured. The TUG score of 13.5 seconds or longer may indicate an increased risk of falls. A score below 13.5 seconds suggests better functional performance.	Baseline
Barthel Index Časové okno: Baseline	The Barthel Index measures the extent to which somebody can function independently and has mobility in their activities of daily living i.e. feeding, bathing, grooming, dressing, bowel control, bladder control, toileting, chair transfer, ambulation and stair climbing. The index also indicates the need for assistance in care. The Barthel Index is a widely used measure of functional disability. The Barthel Index is a 10-item scale (0-100) assessing functional independence in activities of daily living particularly in rehabilitation settings. A higher score indicates greater independence, with 100 representing full independence and 0 representing total dependency. Higher scores mean a better functional dependence.	Baseline

Sekundární výstupní opatření

Měření výsledku	Popis opatření	Časové okno
Ultrasound Shoulder Pathology Rating Scale Časové okno: Baseline	The Ultrasound Shoulder Pathology Rating Scale is a scale based on 5 Ultrasound signs; 3 signs are static and 2 are dynamic. The static tests were greater tuberosity cortical surface irregularity, supraspinatus tendinopathy, and bicipital tendinopathy. The dynamic tests were supraspinatus impingement and subscapularis/biceps/coracoid impingement. A simple ordinal rating scale similar to that used for muscle strength testing was applied to each Ultrasound sign based on the amount of pathology present. The maximum possible score for a shoulder was 20, and the minimum was 0. Higher score indicates a more significant or severe pathology.	Baseline
Ultrasound Assessment of Acromiohumeral Distance Časové okno: Baseline	The patient was sitting down and acromiohumeral joint was visualized while the patient's arm was at the side. Then, an image of the bird's beak was obtained by shifting the ultrasound (7 to 15 MHz, Mindray-UMT 200, NJ, United States) probe laterally in the transverse plane, and the linear distance between the humeral head and the acromion was measured.	Baseline
Shoulder Pain and Disability Index Časové okno: Baseline	The Shoulder Pain and Disability Index is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper-extremity use. The test takes 5 to 10 minutes for a patient to complete and is the only reliable and valid region-specific measure for the shoulder. A score of 0 indicates best 100 indicates worst. A higher score shows more disability.	Baseline
Visual Analog Scale Časové okno: Baseline	The visual analog scale is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between "no pain" and "worst pain." Total score is between 0 and 10 points. Lower scores mean a better outcome	Baseline
Pressure Pain Threshold Časové okno: Baseline	The Pressure Pain Threshold is a quantitative sensory test measuring the minimum amount of pressure that triggers a painful sensation, used to evaluate tenderness, deep muscular tissue sensitivity. A higher score on a Pressure Pain Threshold test means it takes more pressure to feel pain, indicating lower sensitivity or higher pain tolerance.	Baseline
Ultrasound Assessment of Supraspinatus Tendon Thickness Časové okno: Baseline	For the Supraspinatus Tendon Thickness measure, the participants were seated in an upright position with their feet flat on the floor. Participants were asked to place their tested hand on the ipsilateral iliac crest with the elbow pointed posteriorly (the modified Crass position)	Baseline

Spolupracovníci a vyšetřovatelé

Zde najdete lidi a organizace zapojené do této studie.

Sponzor

Kutahya Health Sciences University

Vyšetřovatelé

Vrchní vyšetřovatel: Ali Çağtay DAYI, MD, Kutahya Health Sciences University
Vrchní vyšetřovatel: Güllü AYDIN-YAĞCIOĞLU, Assoc.Prof., University of Health Sciences/ Gulhane Campus
Vrchní vyšetřovatel: Fatıma YAMAN, Assoc.Prof., Kutahya Health Sciences University

Termíny studijních záznamů

Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.

Hlavní termíny studia

Začátek studia (Aktuální)

20. března 2026

Primární dokončení (Odhadovaný)

25. října 2026

Dokončení studie (Odhadovaný)

15. listopadu 2026

Termíny zápisu do studia

První předloženo

13. dubna 2026

První předloženo, které splnilo kritéria kontroly kvality

26. dubna 2026

První zveřejněno (Aktuální)

30. dubna 2026

Aktualizace studijních záznamů

Poslední zveřejněná aktualizace (Aktuální)

13. srpna 2026

Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality

11. srpna 2026

Naposledy ověřeno

1. dubna 2026

Více informací

Termíny související s touto studií

Klíčová slova

Další relevantní podmínky MeSH

Další identifikační čísla studie

2026/03-32

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