HILT or Conventional Combined Physical Therapy, in the Management of Hemiplegic Shoulder Pain

Ankara City Hospital

Status: Completed

Conditions: Hemiplegic Shoulder Pain; High Intensity Laser; Hemiplegia; Physical Therapy

Treatments: Device: tens+us; Device: high intensity laser

Study type: Interventional

Funder types: Other

Identifiers

NCT06407596

is E2-22-1902

Details and patient eligibility

About

Background: Hemiplegic shoulder pain is one of the most common complications after a stroke. There are many treatment strategies for this complication. High-intensity laser therapy (HILT) is a new treatment option, and we aimed to compare the effectiveness of conventional electrotherapy agents and HILT in this study.

Patients and methods: Participants (N = 42) were randomized into the HILT (n = 21) and TENS+US (n = 21) groups. Group 1 received 3 sessions of HILT per week for 3 weeks in addition to a therapeutic exercise program that performed 5 sessions per week for 3 weeks. Group 2 received conventional physical therapy and a therapeutic exercise program for HSP of 5 sessions per week for 3 weeks. Patients were assessed before and after treatment on the on the 6th week for radiological evaluation with ultrasonography and for clinical parameters with VAS, AMAT, MRS, and FIQ scores.

Enrollment: 42 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosed case of HSP,
• Age ≥18,
• First-ever unilateral stroke,
• Visual analog scale (VAS) ≥30 mm,
• Time since stroke ≥6 months,
• Time since last local intervention treatment >6 months.

Exclusion criteria

• A history of shoulder pain prior to stroke;
• An unstable medical condition or uncontrolled systemic diseases (such as respiratory failure, congestive heart failure, liver and kidney dysfunction, or any other disorders affecting neuromuscular function);
• Bilateral hemiplegia;
• Cardiac pacemakers;
• Disturbance of awareness, severe visual and cognitive impairment, Mini-Mental State Examination score: <23 points

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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42 participants in 2 patient groups

group 1: high intensive laser

Experimental group

Description:

HILT was applied 3 times per week, totaling 9 sessions for three weeks.

Treatment:

Device: high intensity laser

group 2: TENS+Ultrasound

Experimental group

Description:

tens+us used combined. 5 times per week. total 15 sessions for three weeks

Treatment:

Device: tens+us