TECARRadiofrequency and Ultrasound for Post-Stroke Shoulder Pain
Radiofrequency
+ Ultrasound
+ The designed physical therapy program
Brain Diseases+14
+ Cardiovascular Diseases
+ Central Nervous System Diseases
Treatment Study
Summary
Study start date: September 28, 2025
Actual date on which the first participant was enrolled.This study is exploring new ways to help people who have had a stroke and are suffering from shoulder pain, which is a common issue that can severely limit arm movement and affect quality of life. Stroke survivors often experience hemiplegic shoulder pain due to several factors, including poor posture and shoulder injuries. The study focuses on two treatment methods, radiofrequency therapy and ultrasound therapy, which are believed to relieve pain and aid in healing by using deep heat and mechanical effects. The goal is to find out which therapy is more effective in reducing pain and improving shoulder movement and function in stroke patients. Participants in the study will receive either radiofrequency therapy or ultrasound therapy. These treatments are non-invasive and use special devices applied to the skin to deliver targeted energy to the affected area. The effectiveness of the treatments will be measured using various tools like the algometer to assess pain levels, the Numerical Rating Scale for pain intensity, a digital goniometer for joint movement, and the Shoulder Pain and Disability Index for evaluating shoulder function. These measurements will help researchers determine which treatment provides better results in reducing pain and improving mobility for stroke survivors.
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.45 patients to be enrolled
Total number of participants that the clinical trial aims to recruit.Treatment Study
Eligibility
Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.Any sex
Biological sex of participants that are eligible to enroll.From 30 to 60 Years
Range of ages for which participants are eligible to join.Healthy volunteers not allowed
If individuals who are healthy and do not have the condition being studied can participate.Conditions
Pathology
Criteria
Inclusion Criteria: * Fourty-five hemiplegic patients with shoulder pain post- stroke from both sexes will participate in this study. * The patients will be older than 18 years old (30-60 years old) * The presence of sub-acute shoulder pain (more than 3 months). * Sub-acute stroke survivors (3 months post-stroke). * score of 1\|1+ points on the Modified Ashworth Scale (MAS) on shoulder joint. * Stage 2 or above according to Brunnstrom function assessment of shoulder joint * All conducted patients experienced a single stroke during the last 3 months with cognitive capacity that will enable them to comprehend and follow the instructions (Mini-Mental Scale score \> 24). Exclusion Criteria: * The following patients will be excluded from the study patients with: * Bilateral adhesive capsulitis * Systemic diseases such as rheumatoid arthritis, malignancies, heart diseases, infections, coagulation disorders, full rotator cuff tears * A history of recent shoulder surgery, neurological problems involving the upper extremity, shoulder joint osteoarthritis * Upper extremity fractures, cervical radiculopathy * Impaired sensation, having a heart pacemaker, pregnancy * Injuries in the upper limbs * Other neurological diseases or cancer * Osteosynthesis material or pacemaker * Botulinum toxin or antispastic treatment 3 months prior to studying. * Any contraindication to massage and Tecar as skin infections, inflammatory vascular diseases, or acute inflammation.
Study Plan
Find out more about all the medication administered in this study, their detailed description and what they involve.3 intervention groups are designated in this study
This study does not include a placebo group
Treatment Groups
Group I
ExperimentalGroup II
ExperimentalGroup III
ExperimentalStudy Objectives
Primary Objectives
Study Centers
These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.This study has 1 location
Faculty of Physical Therapy Delta University
Gamasa, EgyptOpen Faculty of Physical Therapy Delta University in Google Maps