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Recruiting NCT07426965

Stroke Hemiplegic Shoulder Pain: Ultrasound Findings and VAS (Cross-Sectional)

— Observational Hemiplegic Shoulder Pain

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
This is an observational study: the protocol does not assign a study treatment.
Who it may be relevant to
Registry conditions: Hemiplegic Shoulder Pain. Basic parameters: 18 years — 75 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Turkey (Türkiye)
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Official title

The Relationship Between Shoulder Ultrasound Findings and Pain Levels in Acute/Subacute Stroke Patients: A Cross-Sectional Study

Overview

Hemiplegic shoulder pain is a frequent complication after stroke and may be associated with structural abnormalities detectable by musculoskeletal ultrasound. This prospective cross-sectional observational study aims to evaluate the relationship between shoulder ultrasound abnormality score and pain severity in patients with post-stroke hemiplegic shoulder pain. Pain severity will be assessed using the Visual Analog Scale (VAS) for rest, movement, and night pain. Shoulder ultrasound will be performed using a standardized scoring system to quantify structural abnormalities. The primary objective is to investigate whether ultrasound abnormality burden is associated with pain severity in different clinical conditions (rest, exercise, and night).

Detailed description

Hemiplegic shoulder pain is a common complication after stroke and may negatively affect rehabilitation outcomes. Structural abnormalities such as rotator cuff pathology, biceps tendon disorders, bursitis, adhesive capsulitis, and glenohumeral subluxation can be evaluated using musculoskeletal ultrasound.

This prospective cross-sectional observational study aims to investigate the relationship between shoulder ultrasound abnormality score and pain severity in patients with post-stroke hemiplegic shoulder pain. Adult stroke patients with hemiplegic shoulder pain will be evaluated at admission.

Pain severity will be assessed using the Visual Analog Scale (VAS) separately for rest, movement, and night pain. Shoulder ultrasound will be performed using a standardized protocol, and a total ultrasound abnormality score will be calculated.

The primary objective is to evaluate the association between ultrasound abnormality score and pain severity. Secondary analyses will assess the relationship between specific ultrasound findings and pain severity.

Primary outcome measures

  • Association between shoulder ultrasound abnormality score and pain severity [Time frame: At admission (single assessment on the same day as ultrasound)]

Eligibility criteria

Inclusion criteria

  • Being between 18-75 years of age
  • Patients with a history of stroke within the last 2 weeks to 6 months
  • Patients with shoulder pain on the hemiplegic side
  • Mini-mental status test score >25

Exclusion criteria

  • Motor aphasic patient group
  • Patients with a history of previous surgery on the hemiplegic shoulder for any reason
  • Those with other diseases that can explain the shoulder pain
  • Those with neurodegenerative diseases that cause impairment in cognitive functions, such as dementia

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Observational model
Case-only

Study locations

Turkey (Türkiye) · 1 center
  • Ankara Etlik Şehir Hastanesi — Ankara

Publications

  • Pong YP, Wang LY, Huang YC, Leong CP, Liaw MY, Chen HY. Sonography and physical findings in stroke patients with hemiplegic shoulders: a longitudinal study. J Rehabil Med. 2012 Jun;44(7):553-7. doi: 10.2340/16501977-0987. PMID 22674236
  • Huang SW, Liu SY, Tang HW, Wei TS, Wang WT, Yang CP. Relationship between severity of shoulder subluxation and soft-tissue injury in hemiplegic stroke patients. J Rehabil Med. 2012 Sep;44(9):733-9. doi: 10.2340/16501977-1026. PMID 22854896

Identifiers

NCT: NCT07426965 · AEŞH-BADEK1-2025-682

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗