Correlation Between Ultrasonography Finding and Shoulder Range of Motion in Stroke Patients

Study Overview
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Brief Summary
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Limitation of range of motion in the shoulder joints is common in stroke patients. The causes are stiffness, CRPS, and frozen shoulder. The purpose of this study was to investigate the relationship between frozen shoulder and shoulder LOM in patients with cerebral infarction using ultrasonography.

Detailed Description
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Ultrasound examination was performed on 50 patients with limited range of motion of the shoulder joint among inpatients or outpatients in the Department of Rehabilitation Medicine of our hospital, who had a stroke of fewer than 2 years, and the findings suitable for adhesive capsulitis, namely the thickness of the joint capsule in the axillary concave Identify those with thickened findings. Their shoulder power rating, passive range of motion, stiffness evaluation (Modified Ashworth Scale, MAS), and the presence or absence of Reflex Sympathetic Dystrophy (RSD) were evaluated, and the relationship with ultrasound findings was investigated.

Official Title
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Study on Post-stroke Patients With Limited Range of Motion in the Shoulder Joint Whose Ultrasonographic Findings Show Adhesive Capsulitis and Its Associated Clinical Factors.

Conditions
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Cerebral Stroke, Frozen Shoulder

Intervention / Treatment
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* Diagnostic Test: Ultrasonography


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Those who have been diagnosed with a stroke through CT or MRI within the last 2 years Those who are over 19 years old Those who have limitations in the range of motion of the shoulder joint Exclusion Criteria: Those diagnosed with adhesive arthritis prior to the onset of stroke Patients with a severe shoulder trauma Those who performed shoulder surgery

Ages Eligible for Study
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Minimum Age: 19 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Study group<br>Stroke patients with limitation of range of motion on the affected shoulder. | Diagnostic Test: Ultrasonography<br>* The ultrasound measurement s of the axillary recess capsule thickness.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Range of motion of shoulder joint | A goniometer is an instrument which measures the available range of motion at a joint.Flexion, Extension,Adduction,Abduction, Internal Rotation,External rotation | day 1 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| MAS(Modified Ashworth Scale) of elbow Flexor | The Modified Ashworth Scale is a well known and commonly used scale in clinical trials with spasticity. It was considered to be the best clinical tool for measuring resistance to movement. It was used to categorize the severity of spasticity by judging resistance to passive movement. It is a 5-point scale that ranges from 0 (=no increase in tone) to 4 (=limb rigid in flexion or extension). | day 1 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cerebral Stroke, Frozen Shoulder, ultrasonography