Iranian Rehabilitation Journal
مجله انگلیسی زبان توانبخشی
Iranian Rehabilitation Journal
Medical Sciences
http://irj.uswr.ac.ir
18
agent2
17353602
17353610
10.29252/nrip.irj
en
jalali
1405
3
1
gregorian
2026
6
1
24
2
online
1
fulltext
en
Effectiveness of App-based Telerehabilitation For Hemiplegic Shoulder Pain: A Randomized Controlled Trial
طب فیزیکی و توانبخشی
Physical Medicine and Rehabilitation
پژوهشي
Original Research Articles
<strong>Objectives</strong>: This study aimed to evaluate the efficacy of a mobile application–based telerehabilitation program as a supplementary intervention to conventional rehabilitation in enhancing range of motion (ROM), pain relief, and functional shoulder capacity among stroke patients with hemiplegic shoulder pain (HSP).<br>
<strong>Methods</strong>: This randomized controlled trial involved 40 stroke patients with HSP (n=20 per group) and was conducted over a 12-week period from November 2024 to July 2025. The participants were divided into an intervention group (conventional rehabilitation plus telerehabilitation) and a control group (conventional rehabilitation only). The outcomes measured were ROM and the shoulder pain and disability index (SPADI).<br>
<strong>Results</strong>: Both the intervention and control groups showed significant within-group improvement (P≤0.01) across all shoulder ROM and SPADI outcomes, demonstrating large effect sizes (r=0.7–0.88). Details of the within-group improvements (reported as Mean±SD change) are as follows: for flexion ROM (intervention, 11.67±9.2; control, 19.44±16.6), abduction ROM (intervention, 20.0±15.9; control, 27.77±19.86), SPADI pain (intervention, 16.4±7.75; control, 13.5±6.68), and SPADI disability (intervention, 24.89±8.06; control, 19.39±6.14). When comparing the two groups, the intervention group showed superior improvement, notably in disability scores (P=0.031), with a mean difference change of 5.5 (95% CI, 0.6%, 10.3%) and a medium effect size (r=0.35). No statistically significant between-group differences were observed in pain (P=0.134), flexion ROM (P=0.181), or abduction ROM (P=0.204).<br>
<strong>Discussion</strong>: The supplementary telerehabilitation program provides a superior improvement, specifically in disability scores for HSP patients, though it does not significantly enhance pain relief or ROM beyond conventional rehabilitation.
Hemiplegic shoulder pain (HSP), Stroke, Telerehabilitation
185
192
http://irj.uswr.ac.ir/browse.php?a_code=A-10-2683-1&slc_lang=en&sid=1
Muhammad Zuhal
Darwis
mzuhaldarwis@gmail.com