Clinical trial NCT06793852: Shoulder Pain and Its Effects on Joint Position, Strength, Tactical Sensory and Posture in Hemiplegia
Official title: Investigation of the Effect of Shoulder Pain on Joint Position Sense, Postural Control, Tactical Sensory and Muscle Strength in Chronic Hemiplegic Patients
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Hemiplegic Shoulder Pain
Keywords: Stroke
Pain
Postural Control
Sensation
Muscle Strength
Lead sponsor: Karabuk University
Sponsor class: OTHER
First posted: 2025-01-27
Enrollment: 78
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: CROSS_SECTIONAL
Sampling method: PROBABILITY_SAMPLE
Study population: The study population will consist of individuals diagnosed with stroke and receiving treatment at the Special Safranbolu Special Education and Rehabilitation Center in Karabük province. Based on previous similar studies, the sample size was calculated using power analysis with 80% power and a significance level of α=0.05, resulting in 78 participants.

Brief summary: The main purpose of this study is to reveal the effects of shoulder pain in chronic hemiplegic patients with a more comprehensive and holistic perspective through evaluation and correlation methods. It is thought that these evaluations can make significant contributions to the understanding of the etiology and treatment of post-stroke shoulder pain. The focus of the study is to deeply examine the effects of shoulder pain on joint position sense, postural control, tactile sense and muscle strength in chronic hemiplegic patients.

Detailed description: This study aims to investigate the effects of shoulder pain on joint position sense, postural control, tactile sensation, and muscle strength in chronic hemiplegic stroke patients. Designed as a cross-sectional descriptive study, it involved participants divided into two groups based on the presence or absence of shoulder pain. The assessments included joint position sense , postural control , tactile sensation , gross grip strength, and pinch grip strength . The findings of this study are expected to contribute to clinical practice by aiding in the development of more effective interventions for managing post-stroke shoulder pain. Additionally, it aims to serve as a foundation for future comprehensive research, emphasizing the critical role of addressing pain in the rehabilitation process.

Eligibility criteria: Inclusion Criteria:

* At least 3 months post-stroke, diagnosis of hemiplegia after stroke, aged 18 or older, having cognitive abilities and cooperation required to fulfill the study requirements, and willingness to participate in the study.

Exclusion Criteria:

* Mini Mental State Examination (MMSE) score \< 24, patients with aphasia, major neurological or rheumatological diseases affecting the musculoskeletal system other than stroke, and patients who had surgery on the affected shoulder prior to the stroke diagnosis.

Primary outcomes:
measure: inclinometer
timeFrame: Baseline
measure: Postural Assessment Scale for Stroke Patients (PASS-T)
timeFrame: Baseline
measure: Semmes-Weinstein Monofilament test
timeFrame: Baseline
measure: dynamometer
timeFrame: Baseline
measure: pinchmeter
timeFrame: Baseline
Secondary outcomes:
measure: Personal information form
timeFrame: Baseline
measure: Mini Mental State Assessment Test
timeFrame: Baseline
measure: Visual Analog Scale
timeFrame: Baseline
measure: Shoulder Pain and Disability Index
timeFrame: Baseline
Other outcomes:
Locations:
city: Karabük
country: Turkey
facility: Karabük University
Study officials:
References:
citation: Wilson RD, Chae J. Hemiplegic Shoulder Pain. Phys Med Rehabil Clin N Am. 2015 Nov;26(4):641-55. doi: 10.1016/j.pmr.2015.06.007. Epub 2015 Sep 9.