Overview
This study aims to contribute to clinical practice by investigating the effectiveness of flossband application on range of motion, functionality, pain and sleep quality in hemiplegic patients with shoulder pain.
Description
This study will be conducted at the NRL Physical Therapy Center. Participants must sign an informed consent form before starting the study. Participants will be randomly assigned to two groups: a control and an experimental group. A Visual Analog Scale will be used to assess pain. A score of 0 represents no pain, and a score of 10 represents unbearable pain. The Pittsburgh Sleep Quality Scale will be used to assess sleep quality. Assessments will be made before starting treatment and at the end of treatment after 6 weeks. The experimental group will receive conventional physical therapy and flossband application. This group will receive conventional physical therapy and flossband application three sessions per week, each session lasting approximately 40-50 minutes, for 6 weeks. The flossband application will cover the area around the shoulder joint (specifically the deltoid, pectoralis major, and subscapularis line). A spiral bandage will be applied starting from the mid-distal portion of the deltoid muscle, working distally from proximal to distal.
Eligibility
Inclusion Criteria
- Individuals with a clinical diagnosis of stroke
- Individuals between the ages of 30 and 55
- Individuals experiencing hemiplegic shoulder pain (VAS ≥ 3) and/or limited joint movement
- Individuals who have been at least 6 months post-stroke (chronic phase)
- Individuals who have an active range of motion of at least 90° in shoulder flexion and abduction
- Individuals with stable vital signs
- Individuals who volunteer to participate in the study and who understand the purpose and process of the study and sign a written informed consent form
Exclusion Criteria
- Presence of serious orthopedic problems such as shoulder fractures, dislocations, or rotator cuff tears
- Presence of skin lesions or circulatory disorders that may prevent flossband application
- Spasticity in the affected arm (Modified Ashworth Scale ≥1)
- Those with a latex allergy to the flossband material
- Those with acute inflammatory conditions or acute pain