The effects of slow-stroke back massage on anxiety, depression, blood pressure and shoulder pain in stroke patients

INTERVENTION: Intervention 1: Intervention group: ten minutes of (slow‐stroke back massage) SSBM for three consecutive days. Intervention 2: Patients in the control group were not offered the SSBM intervention. Intervention group: ten minutes of (slow‐stroke back massage) SSBM for three consecutive days Patients in the control group were not offered the SSBM intervention Rehabilitation CONDITION: Other shoulder lesions shoulder pain. ; Other shoulder lesions PRIMARY OUTCOME: Decrease of depression. Timepoint: hospital anxiety and depression scale(HADS) before and end of the third day, after the massage intervention. Method of measurement: Hospital anxiety and depression scale(HADS). Decrease of shoulder pain. Timepoint: VAS scale before and end of the third day, after the massage intervention. Method of measurement: VAS scale. Decrease of anxiety. Timepoint: hospital anxiety and depression scale(HADS)before and end of the third day, after the massage intervention. Method of measurement: Hospital anxiety and depression scale(HADS). Decrease of blood pressure. Timepoint: Systolic and diastolic blood pressure of each subject measured before and after the cessation of intervention. Method of measurement: check list blood pressure. INCLUSION CRITERIA: INCLUSION CRITERIA: 1) Stroke patients experiencing shoulder pain, 2) Patients 40 years of age or older, 3) Had a stroke in the recent 6 month, 4) Had continuous pain in shoulder, 5) No history of bradycardia, hypotension, spinal and skin disorders as well as malignancy of the spinal column. 6) Not received sedative and depressive drugs 4 hours before complete questionnaires. 7) Ability of patient to speaking; Exclusive criteria : 1) Absence of collaboration, 2) Death or exit from study, 3) Had a hypotension and vertigo during massage intervention, 4) Received other complementary therapy for relieving of the pain, anxiety and depression.