Multimodal Treatment for Hemiplegic Shoulder Pain

The primary objective of this 2-site randomized controlled trial is to confirm the use of intramuscular peripheral nerve stimulation (PNS) for the treatment of HSP, which involves the temporary placement of a percutaneous intramuscular electrode to stimulate the axillary nerve motor points to the deltoid muscle.

About This Study

Combining PNS and PT, which may be how PNS is actually implemented in clinical practice, many have a synergistic therapeutic effect. Thus, the second objective of this trial is to determine if multimodal treatment of HSP with PNS + PT is more efficacious for pain relief than PNS alone or PT alone. Mechanisms also will be explored.

Study Information

This study employs the use of multiple modalities in order to determine the efficacy of combined PNS and PT in comparison to PNS in the absence of PT, or vice versa. The stimulation system includes an external stimulator, a percutaneous lead, and a pad. There is a 1-week stabilization period following the insertion of the percutaneous lead into the participant, after which stimulation is initiated. This treatment entails 6-hour stimulation sessions every day for 3 weeks. Total time of electrode implantation is no more than 29 days. Additionally, patients will participate in eight 60-minute outpatient physical therapy sessions over the course of 4 weeks, concurrent with PNS treatment.

Principal Investigators: Richard Wilson, MD

Program Contact: Krissy Hansen, PT

Contact Number: (216) 957-3584

Contact Email: khansen1@metrohealth.org


Contact Request

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