Effects of TENS and Interference on Pain, Functional Status and Range of Motion in Shoulder Pain in Stroke Patients

Hilal Yeşil

Status: Completed

Conditions: Hemiplegic Shoulder Pain

Treatments: Other: IFC; Other: shamTENS; Other: shamIFC; Other: TENS

Study type: Interventional

Funder types: Other

Identifiers

NCT04933318

HYSHHO

Details and patient eligibility

About

Effects of TENS and Interference on Pain, Functional Status and Range of Motion in Shoulder Pain in Stroke Patients

Full description

Hemiplegic shoulder pain treatment methods are, analgesics, local steroid injection, physical therapy modalities and exercise. There are publications about the use of TENS and interferential currents (IFC) in the treatment of hemiplegia related shoulder pain and their effectiveness. However when we look at the literature, we did not find a study that evaluated the efficacy of TENS and IFC in hemiplegic shoulder pain. For this reason, in this study, we aimed to determine the effects of these analgesic treatment modalities on the patient's pain, functional status and shoulder range of motion (ROM) in these patients. 60 stroke patients with shoulder pain randomized to four treatment groups. 15 patients in Group 1 were given TENS treatment to the shoulder area for 25 minutes by conventional method ( 20 sessions, 5 times a week), then, a classical stroke rehabilitation program was applied under the guidance of a physiotherapist.. 15 patients in Group 2 were given shamTENS treatment to the shoulder area for 25 minutes ( 20 sessions, 5 times a week), then, a classical stroke rehabilitation program was applied under the guidance of a physiotherapist.15 patients in Group 3 were given 100 Hz IFC treatment to the shoulder area for 25 minutes ( 20 sessions, 5 times a week), then, a classical stroke rehabilitation program was applied under the guidance of a physiotherapist. 15 patients in Group 4 were given shamIFC treatment to the shoulder area for 25 minutes ( 20 sessions, 5 times a week), then, a classical stroke rehabilitation program was applied under the guidance of a physiotherapist.

Enrollment: 60 patients

Sex: All

Ages: 40 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1.Having shoulder pain due to hemiplegia 2- Having had hemiplegia in the last 8 months 3- Having hemiplegia for the first time 4- Not having a problem in the painful shoulder before hemiplegia 5- normal light touch and pinprick tests of the affected shoulder 6- pain level in the affected extremity as measured by VAS is at least 4 7- Brunnstrom upper extremity stage with 1-2-3

Exclusion criteria

1. Neoplasia

2. uncontrolled hypertension

3. Serious arrhythmias

4. Having pacemakers

5. Epilepsy

6. Severe sensory impairment, wound, infection in the application area

7. bleeding disorders

8. Uncooperative patients 10- Patients with acute infection 11- Patients with a history of trauma to the painful shoulder 12- Treatment for pain in the affected shoulder (blockage, intra-articular injection, and physical therapy agent)

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 4 patient groups

Transcutaneous electrical nerve stimulation (TENS)

Active Comparator group

Description:

Transcutaneous electrical nerve stimulation (TENS)- analgesic current therapy

Treatment:

Other: TENS

shamTENS

Sham Comparator group

Description:

shamTranscutaneous electrical nerve stimulation (TENS)- analgesic current therapy

Treatment:

Other: shamTENS

Interferential current therapy (IFC)

Active Comparator group

Description:

Interferential current therapy (IFC)- analgesic current therapy

Treatment:

Other: IFC

shamIFC

Sham Comparator group

Description:

shamInterferential current therapy (IFC)- analgesic current therapy

Treatment:

Other: shamIFC