Status:

UNKNOWN

Botulinum Toxin Type A (BT-A) in Hemiplegic Shoulder Pain Versus Steroid

Lead Sponsor:

The Foundation Institute San Raffaele G. Giglio of Cefalù

Collaborating Sponsors:

Ospedale di Brunico

Fondazione Salvatore Maugeri

Conditions:

Stroke

Hemiparesis

Eligibility:

All Genders

18-70 years

Phase:

PHASE2

Brief Summary

The aim of this study is to confirm the efficacy and safety of the intra-articular injection of BT-A in a multicentric double blind randomised study. For this purpose intra-articular injection of BT-A...

Detailed Description

Shoulder pain is one of the most common complications of stroke. In fact, it occurs up to 70% of stroke victims. Post-stroke shoulder pain impacts negatively on daily activities. Moreover, it interfer...

Eligibility Criteria

Inclusion

  • Patients with hemiparesis and shoulder pain due to first stroke (ischemic or hemorrhagic) admitted in a rehabilitative department to carry out a standard post-acute rehabilitative program
  • Pain score of 45 or greater on a 0-100 mm pain visual analog scale (VAS; 0 = no pain, 100 = worst possible pain)
  • Duration of HSP for at least one month
  • Pain refractoriness to conventional treatment i.e. common analgesics (such as paracetamol and NSAIDs), slings, strapping and handling of the arm, functional electrical stimulation of shoulder muscles

Exclusion

  • Significant spasticity in the upper shoulder joint, defined as a score of 2 or more at the modified Ashworth scale
  • History of shoulder pain or shoulder diseases.
  • History of neurological diseases (i.e. Parkinson disease, dystonia).
  • History of botulinum toxin treatment

Key Trial Info

Start Date :

January 1 2012

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 1 2013

Estimated Enrollment :

52 Patients enrolled

Trial Details

Trial ID

NCT01473277

Start Date

January 1 2012

End Date

January 1 2013

Last Update

November 17 2011

Active Locations (1)

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Fondazione Istituto San Raffaele G. Giglio di Cefalù

Cefalù, Palermo, Italy, 90015