Hemiplegic Shoulder Pain Management Using Shoulder pRF and Corticosteroid Injection
Status:
Recruiting
Trial end date:
2024-04-01
Target enrollment:
Participant gender:
Summary
Introduction: hemiplegic shoulder pain (HSP) in a common post-stroke condition, that can lead
to poor motor and functional recovery and lower quality of life. Interventions like
intra-articular corticosteroid injection (ICI) and suprascapularis nerve (SSN) pulsed
radiofrecuenfy treatment (PRF) has been used to treat the pain.
Methods: in this single-center, prospective, randomized controlled study, we included 20
consecutive patients with hemiplegic shoulder pain in subacute stroke phase (2-12 months
after diagnosis). Subjects were randomly assigned to the PRF (SSN and shoulder joint) and ICI
treatment groups (n = 10 in each). Primary outcome is hemiplegic shoulder pain severity,
measured by numeric rating scale, active shoulder range of motion and Fugl-Meyer upper limb
assessment. Secondary outcome is shoulder joint and cervicocephalic kinesthetic sensibility.
Outcome measurements were assessed at baseline and one, two and six months after each
procedure.