Osteopathic Manual Treatment for Hemiplegic Shoulder Pain and Upper Extremity Function in Stroke Patients

Exclusion Criteria

• •Presence of an active systemic or localized infection requiring antibiotic therapy
• •Presence of fracture in the area being treated
• •Presence of open wound in the area being treated
• •Presence of rheumatoid arthritis
• •Presence of known active malignancy
• •Presence of shoulder pain on the affected side within 3 months prior to stroke
• •Patients with left-MCA stroke diagnosis who demonstrate the presence of aphasia based on the Mississippi Aphasia Screening Test (MAST)
• •Patients who demonstrate hemispatial visual neglect based on screening motor-free visual perception test (MFVPT)
• •Patients already receiving any type of manual therapy by a certified therapist through their standard-of-care treatment
• •Patients who do not wish to participate
• •Patients who are not fit as judged by the study team
• •Patients who lack the capacity to consent for enrollment in the study based on the University of California San Diego Brief Assessment of Capacity to Consent