Ultrasound findings and pain levels in hemiplegic shoulder after stroke
The Relationship Between Shoulder Ultrasound Findings and Pain Levels in Acute/Subacute Stroke Patients: A Cross-Sectional Study
This will test whether the amount of shoulder damage seen on ultrasound is linked to rest, movement, and night pain in adults with hemiplegic shoulder pain after a recent stroke.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 100 (estimated) |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Sponsor | Ankara Etlik City Hospital Government |
| Locations | 1 site (Ankara) |
| Trial ID | NCT07426965 on ClinicalTrials.gov |
What this trial studies
This is a prospective cross-sectional observational study of adults admitted with hemiplegic shoulder pain after stroke. Pain severity will be measured using the Visual Analog Scale separately for rest, movement, and night pain. A standardized musculoskeletal ultrasound protocol will be used to score structural abnormalities in the affected shoulder and produce a total ultrasound abnormality score. The primary analysis will examine the association between the ultrasound abnormality score and pain severity, with secondary analyses looking at specific ultrasound findings.
Who should consider this trial
Good fit: Adults aged 18–75 with a stroke in the prior 2 weeks to 6 months, hemiplegic-side shoulder pain, and preserved cognition (MMSE > 25) are the intended participants.
Not a fit: Patients with prior shoulder surgery, other identifiable causes of shoulder pain, neurodegenerative cognitive impairment, or motor aphasia are unlikely to gain direct benefit from this observational work.
Why it matters
Potential benefit: If positive, the findings could help clinicians use shoulder ultrasound to explain or predict pain severity and guide targeted rehabilitation after stroke.
How similar studies have performed: Previous research has reported links between ultrasound-detected shoulder pathology and post-stroke pain, but results have been variable and standardized ultrasound scoring is less well established.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Being between 18-75 years of age 2. Patients with a history of stroke within the last 2 weeks to 6 months 3. Patients with shoulder pain on the hemiplegic side 4. Mini-mental status test score \>25 Exclusion Criteria: 1. Motor aphasic patient group 2. Patients with a history of previous surgery on the hemiplegic shoulder for any reason 3. Those with other diseases that can explain the shoulder pain 4. Those with neurodegenerative diseases that cause impairment in cognitive functions, such as dementia
Where this trial is running
Ankara
- Ankara Etlik Şehir Hastanesi — Ankara, Turkey (Türkiye) (Recruiting)
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.