Effect of Wheelchair Handrail Compensator and Rehabilitation Training for Patients With Hemiplegic Shoulder Pain (EHSP)

Guangzhou University of Traditional Chinese Medicine

Status: Completed

Conditions: Shoulder Pain

Treatments: Device: Wheelchair handrail compensator; Device: Ordinary wheelchair

Study type: Interventional

Funder types: Other

Identifiers

NCT02837068

2012B091100487

Details and patient eligibility

About

The purpose of this study is to determine whether wheelchair handrail compensator plus rehabilitation training could do better than ordinary wheelchair plus rehabilitation training in relieving pain and improving daily life activity, upper limb motor function and quality of life for patients with hemiplegic shoulder pain.

Full description

The ideal management of hemiplegic shoulder pain(HSP) is prevention,and a normal limb position is necessary for preventing and reducing hemiplegic shoulder pain.The foam or board supports has been used to prevent shoulder pain and could be recommended for wheelchair users to keep normal position. Therefore, the investigators designed the equipment wheelchair handrail compensator and expected to help paralyzed limbs to maintain a normal position.Using of the wheelchair handrail compensator may help patients achieve: pain relieve, improvement of upper limb function and increase of the quality of life.The aim of this study was to evaluate the effect of treatment by wheelchair handrail compensator and rehabilitation training for people with hemiplegic shoulder pain.

Enrollment: 120 patients

Sex: All

Ages: 20 to 85 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Specific diagnosis refer to the "China guideline for cerebrovascular disease prevention and treatment"
• Course of disease range from two weeks to six months
• Age range from 20 to 85 years old
• Brunnstrom scale range from I to II
• Good mental status and could be able to answer questions

Exclusion criteria

• Patients with brain trauma, thalamic lesions or peripheral neuropathy
• Patients with a history of cervical spondylosis, periarthritis, fracture or trauma at the shoulder, osteoporosis or myocardial infarction which could cause shoulder pain
• Patients get worse as a result of cerebral edema or coma following stroke
• Patients with serious infection or disorder in heart, liver and kidney
• Patients withdraw from the research by themselves

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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120 participants in 2 patient groups

Wheelchair handrail compensator

Experimental group

Description:

When a patient sitting on the wheelchair, the physiotherapist put the paralysis upper limb on the handrail compensator and keep the limb in normal position for at least 60 minutes one day.

Treatment:

Device: Wheelchair handrail compensator

Ordinary wheelchair

Active Comparator group

Description:

When a patient sitting on the wheelchair, the paralysis upper limb was put on the ordinary handrail for at least 60 minutes one day.

Treatment:

Device: Ordinary wheelchair