Comparing Mobilization Techniques for the Hemiplegic Shoulder

University Ghent

Status: Completed

Conditions: Hemiplegic Shoulder; Mobility Limitation

Treatments: Other: Scapular mobilization; Other: Glenohumeral mobilization

Study type: Interventional

Funder types: Other

Identifiers

NCT03211364

2016/0404

Details and patient eligibility

About

One of the main complications after stroke is hemiplegic shoulder pain. It is known that one of the most frequent causes of hemiplegic shoulder pain is a restricted range of motion in the shoulder joint. Therefore, it is necessary to preserve the passive range of motion by using the most optimal mobilization technique. The aim of this study is to compare 2 different techniques in order to document their influence on shoulder range of motion and shoulder pain in stroke patients.

Enrollment: 11 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• First stroke
• Upper limb impairment

Exclusion criteria

• Shoulder pain on the hemiplegic side with onset before the stroke
• Surgery at the hemiplegic shoulder
• Active movement possible within the whole range of motion

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

---

11 participants in 3 patient groups, including a placebo group

Angular mobilization

Active Comparator group

Description:

Angular mobilization of the shoulder joint in the frontal plane.

Treatment:

Other: Glenohumeral mobilization

Angular mobilization with soft tissue techniques

Active Comparator group

Description:

Angular mobilization performed in the scapular plane. Additional soft tissue techniques to eliminate limitations created by tensed muscles in order to perform capsular stretch.

Treatment:

Other: Glenohumeral mobilization

Scapular mobilization

Placebo Comparator group

Description:

Scapular mobilization without glenohumeral movement.

Treatment:

Other: Scapular mobilization