Rotator Cuff Tears in Hemiplegic Shoulder

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Sun Gun Chung, Seoul National University Hospital
ClinicalTrials.gov Identifier:
NCT00998868
First received: October 20, 2009
Last updated: September 23, 2011
Last verified: September 2011

October 20, 2009
September 23, 2011
January 2008
April 2010   (final data collection date for primary outcome measure)
Rotator Cuff Tear of the Hemiplegic Shoulder, Confirmed by Ultrasonography [ Time Frame: within one month after enrollment ] [ Designated as safety issue: No ]
All patients underwent ultrasonography (USG) for the both, affected and unaffected, shoulders. USG routinely examined biceps, subscapularis, supraspinatus, and infraspinatus tendons as for the partial or complete tears, calcifications, bony irregularity and bursal swellings.
rotator cuff tear of the hemiplegic shoulder, confirmed by ultrasonography [ Time Frame: within one month after enrollment ] [ Designated as safety issue: No ]
Complete list of historical versions of study NCT00998868 on ClinicalTrials.gov Archive Site
  • Rotator Cuff Tear of the Unaffected Shoulder, Confirmed by Ultrasonography [ Time Frame: within one month after enrollment ] [ Designated as safety issue: No ]
    All patients were performed ultrasonography (USG) for the both, affected and unaffected, shoulders. USG routinely examined biceps, subscapularis, supraspinatus, and infraspinatus tendons as for the partial or complete tears, calcifications, bony irregularity and bursal swellings.
  • Subluxation of the Glenohumeral Joint, Confirmed by Physical Examination [ Time Frame: within one month after enrollment ] [ Designated as safety issue: No ]
    The glenohumeral joint subluxation was examined by palpating the subacromial regions of the both sides and comparing the affected side with the unaffected side while patients are seated and relaxed. If the palpated space between the acromion and the humeral head was wider on the affected side by one half finger breath or more, it was judged to be subluxation.
  • Muscle Strength, Measured by Physical Examination, Per Medical Research Council Muscle Strength Grading System [ Time Frame: within one month after enrollment ] [ Designated as safety issue: No ]

    Muscle strength was measured for forward flexion and abduction of the shoulder per Medical Research Council (MRC) scale in each participants. Their mean +/- SD were calculated in each group.

    MRC scale:

    Grade 5: Normal and can move against full resistance. Grade 4: Reduced but can move against resistance. Grade 3: Can move only against gravity Grade 2: Can move without gravity Grade 1: Only a trace of movement Grade 0: No movement.

  • rotator cuff tear of the unaffected shoulder, confirmed by ultrasonography [ Time Frame: within one month after enrollment ] [ Designated as safety issue: No ]
  • subluxation of the glenohumeral joint, confirmed by Roentgenogram [ Time Frame: within one month after enrollment ] [ Designated as safety issue: No ]
  • muscle strength, measured by physical examination, per Medical Research Council Muscle Strength grading system [ Time Frame: within one month after enrollment ] [ Designated as safety issue: No ]
Not Provided
Not Provided
 
Rotator Cuff Tears in Hemiplegic Shoulder
Observational Study to Evaluate the Prevalence of Rotator Cuff Tears in Hemiplegic Shoulders

The purpose of the study is to evaluate the prevalence of rotator cuff tears in the shoulders of hemiplegic patients of different severity.

Rotator cuff tears are often suspected to contribute hemiplegic shoulder pain. However, it is controversial whether their incidence increases in hemiplegia. Based on the postulate that muscle weakness in hemiplegia predisposes rotator cuff injury due to biomechanical failure, this study aims to investigate whether the rotator cuff tears are associated with the muscle strength of the shoulder by observing hemiplegic shoulders of varying degree of paresis.

Observational
Observational Model: Case-Only
Time Perspective: Cross-Sectional
Not Provided
Not Provided
Probability Sample

university hospital, department of rehabilitation medicine admitted patients due to hemiplegia

Hemiplegia
Not Provided
hemiplegia
patients with hemiplegia, without other musculoskeletal disorders of the shoulder

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
51
August 2010
April 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • hemiplegia; unilateral weakness of sudden onset
  • secondary to strokes or other brain lesions
  • compatible with brain lesions confirmed by imaging studies

Exclusion Criteria:

  • bilateral weakness
  • any history of intensive trauma of the shoulder, reported
  • preexisting musculoskeletal disorder of the shoulder
Both
20 Years to 90 Years
No
Contact information is only displayed when the study is recruiting subjects
Korea, Republic of
 
NCT00998868
SNUH-RM-TRHan-RCTHS-01
No
Sun Gun Chung, Seoul National University Hospital
Seoul National University Hospital
Not Provided
Principal Investigator: Tai Ryoon Han, MD, PhD Seoul National University College of Medicine
Seoul National University Hospital
September 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP