Osteopathic Manual Treatment for Hemiplegic Shoulder Pain and Upper Extremity Function in Stroke Patients

University of Wisconsin (UW)

Status

Completed

Conditions

Osteopathic Manipulative Treatment

Hemiplegic Shoulder Pain

Treatments

Other: Osteopathic Manual Treatment

Other: Sham Treatment

Study type

Interventional

Funder types

Other

Identifiers

NCT06098508

A536120 (Other Identifier)

SMPH/ORTHO&REHAB/REHAB MED (Other Identifier)

Protocol version 8/8/25 (Other Identifier)

2021-1051

Details and patient eligibility

About

This study assesses the feasibility and safety of performing osteopathic manual treatment (OMT) for hemiplegic shoulder pain in stroke patients. This study's participants will be adults with a first-time stroke diagnosis in the past 5 years and shoulder pain on the same side affected by stroke. Eligible participants will be placed on study for approximately 6 weeks and given either OMT or a sham treatment each week.

Enrollment

3 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients must be at least 18 years or older to participate in the study
Presence of shoulder pain on the side of the body affected by stroke
Patients must have a diagnosis of a first-time stroke within the past 5 years
Stroke type must be subcortical, brainstem, and/or right-MCA stroke. Participants with multiple stroke types within the first-time diagnosis may be included

Exclusion criteria

Presence of an active systemic or localized infection requiring antibiotic therapy
Presence of fracture in the area being treated
Presence of open wound in the area being treated
Presence of rheumatoid arthritis
Presence of known active malignancy
Presence of shoulder pain on the affected side within 3 months prior to stroke
Patients with left-MCA stroke diagnosis who demonstrate the presence of aphasia based on the Mississippi Aphasia Screening Test (MAST)
Patients who demonstrate hemispatial visual neglect based on screening motor-free visual perception test (MFVPT)
Patients already receiving any type of manual therapy by a certified therapist through their standard-of-care treatment
Patients who do not wish to participate
Patients who are not fit as judged by the study team
Patients who lack the capacity to consent for enrollment in the study based on the University of California San Diego Brief Assessment of Capacity to Consent