Saves the questions and what to expect into your notes, next to the visit they belong to.
Keep this study
Lead
MetroHealth Medical Center
With
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Case Western Reserve University
Age
21–any
Sex
ALL
Healthy volunteers
Not accepted
You may be eligible if
shoulder pain localized to the glenohumeral joint, subacromial area or deltoid insertion associated with any of the following conditions: a) rest; b) passive abduction or external rotation ROM; c) active abduction or external rotation ROM; or d) manual palpation
weakness of shoulder abductors (≤4/5 on MRC if isolated movement is present)
age ≥21-yrs
time from stroke ≥ 3-mo
shoulder pain onset after the most recent stroke
duration of shoulder pain ≥ 3-mo
severity of shoulder pain on BPI-SF 3 ≥4
cognitive ability to fulfill study requirements \[a) exhibit 3 object immediate and 30 minute recall; b) ability to use a numeric rating scale (using a 0-10 numeric rating scale) by correctly ranking the tightness they feel on the unaffected arm of 3 low-pressure inflations with a standard sphygmomanometer cuff which follow a predetermined sequence (20, 40 and 0 mm Hg); and c) ability to follow 3-stage commands\]
availability of a reliable adult who can check the skin and assist the participant with the treatment protocol
willing and able to report severity of shoulder pain throughout the study period
willing to make all scheduled study visits post-implantation.
You may not be if
evidence of joint or overlying skin infection
insensate skin
\>1 opioid or nonopioid analgesics daily for shoulder pain
daily intake of pain medications for any other chronic pain
intra-articular or subacromial steroid injections to the shoulder in the previous 12-wks
botulinum toxin injection to the trapezius, pectoralis or subscapularis muscle in the previous 12-wks
receiving physical or occupational therapies for shoulder pain
physician-diagnosed shoulder pathology symptomatic within the 5 yrs prior to CVA
bleeding disorder
INR\>3.0 for those on warfarin \[INR\>3.0\]
poorly controlled diabetes \[HbA1c\>7.0\]
medical instability
pregnancy
uncontrolled seizures (\>1/mo for 6-mo)
uncompensated hemi-neglect
severely impaired communication
moderate to severe depression
other confounding conditions such as ipsilateral upper limb lower motorneuron lesion, Parkinson's Disease, spinal cord injury, traumatic brain injury or multiple sclerosis
other medical issues such as complex regional pain syndrome, bicipital tendonitis, myofacial pain syndrome, etc.
the following cardiac conditions: a) history of arrhythmia with hemodynamic instability, such as ventricular tachycardia, supraventricular tachycardia and rapid ventricular response atrial fibrillation; b) any implantable stimulator such as demand pacemakers or defibrillators; and c) valvular heart disease including artificial valves (due to risk of infection and endocarditis)
likely non-compliance factors such as distance from the center, inadequate social support, or psychiatric/psychologic factors
