CompletedNot Applicable

Shockwave and Cryoflow for Shoulder Pain After Stroke

Egypt30 participantsStarted 2025-10-10

Plain-language summary

This study aims to find out whether combining two physical therapy treatments - Extracorporeal Shockwave Therapy and Cryoflow Therapy - can help reduce shoulder pain and improve function in patients who have developed rotator cuff tendonitis after a stroke. Participants will be divided into groups to receive either one therapy alone or both therapies together. Researchers will measure pain levels, shoulder movement, and daily function before and after treatment to see which approach works best. The goal is to find a more effective, non-drug way to manage shoulder pain in stroke survivors and help them regain better use of their arm.

Who can participate

Age range50 Years – 70 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Diagnosis of stroke confirmed by neurologist via physical examination and MRI. Age between 50 and 70 years. Moderate to severe shoulder spasticity, graded as Stage 3 on the Modified Ashworth Scale (MAS) for shoulder adductors. Medically stable (vital signs within normal limits). Conscious, cooperative, and able to follow instructions. No orthopedic conditions, surgeries, or injuries affecting the shoulder or upper limb. No sensory impairments (visual, auditory, proprioceptive) that would interfere with assessment or treatment. Able to provide informed consent. Exclusion Criteria: * History of shoulder surgery or fracture. Presence of shoulder subluxation or dislocation. Severe cognitive impairment or inability to communicate. Uncontrolled hypertension, cardiac disease, or other unstable medical conditions. Skin lesions, open wounds, or infection over the shoulder region. Diagnosis of frozen shoulder (adhesive capsulitis), rheumatoid arthritis, or other inflammatory joint diseases. Previous treatment with ESWT or cryotherapy for shoulder within the last 6 months. Use of botulinum toxin injections in the upper limb within the last 3 months

What they're measuring

Change in Shoulder Muscle Tone (Spasticity)

Timeframe: Baseline and after 8 weeks of treatment (24 sessions)

Trial details

NCT IDNCT07196267

SponsorMTI University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2025-10-30