Exclusion criteria:
1- Recurrent stroke history
2- Absence of active MTrP in the shoulder muscles
3- Cognitive dysfunction in the patient
4- The use of anticoagulants that are contraindicated to DN or the
presence of infection
5- The patient has a cardiac pace-maker
6- History of physiotherapy treatment in the last three months due to
shoulder pain
7- Neuropathic pain in the patient
8- Frozen shoulder, rotator cuff lesion