Radiofrequency vs. Ultrasound Therapy for Shoulder Joint in Stroke Patients: A Comparative Clinical Trial

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• The following patients will be excluded from the study patients with:
  • Bilateral adhesive capsulitis
  • Systemic diseases such as rheumatoid arthritis, malignancies, heart diseases, infections, coagulation disorders, full rotator cuff tears
  • A history of recent shoulder surgery, neurological problems involving the upper extremity, shoulder joint osteoarthritis
  • Upper extremity fractures, cervical radiculopathy
  • Impaired sensation, having a heart pacemaker, pregnancy
  • Injuries in the upper limbs
  • Other neurological diseases or cancer
  • Osteosynthesis material or pacemaker
  • Botulinum toxin or antispastic treatment 3 months prior to studying.
  • Any contraindication to massage and Tecar as skin infections, inflammatory vascular diseases, or acute inflammation.

• Fourty-five hemiplegic patients with shoulder pain post- stroke from both sexes will participate in this study.
• The patients will be older than 18 years old (30-60 years old)
• The presence of sub-acute shoulder pain (more than 3 months).
• Sub-acute stroke survivors (3 months post-stroke).
• score of 1|1+ points on the Modified Ashworth Scale (MAS) on shoulder joint.
• Stage 2 or above according to Brunnstrom function assessment of shoulder joint
• All conducted patients experienced a single stroke during the last 3 months with cognitive capacity that will enable them to comprehend and follow the instructions (Mini-Mental Scale score > 24).