Current Evidence in the Management of Poststroke Hemiplegic Shoulder Pain

Li, Zheng; Alexander, Sheila

doi:10.1097/jnn.0000000000000109

Cited by 23 publications

(23 citation statements)

References 41 publications

(68 reference statements)

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“…Shoulder subluxation is only one of many potentially painful complications of hemiplegia specific to the shoulder joint. The term “hemiplegic shoulder pain” has been used broadly to describe shoulder pain in persons with hemiplegic stroke as a result of a variety of causes, including subluxation, sensory changes, muscle imbalance, and adhesive capsulitis, as well as CRPS and spasticity, which have been addressed previously [92,93]. This section will focus on the painful sequelae of shoulder subluxation but will also include mention of other hemiplegic shoulder pain issues that have not yet been covered.…”

Section: Subluxation and Other Painful Disorders Of The Hemiplegic Shmentioning

confidence: 99%

Demystifying Poststroke Pain: From Etiology to Treatment

Treister

Hatch

Cramer

et al. 2016

PM&R

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Pain following stroke is commonly reported but often incompletely managed, which prevents optimal recovery. This is in part due to the esoteric nature of post-stroke pain and its limited presence in current discussions of stroke management. The major specific afflictions that affect patients with stroke who develop pain include central post-stroke pain (CPSP), complex regional pain syndrome (CRPS), and pain associated with spasticity and shoulder subluxation. Each disorder carries its own intricacies that require specific approaches to treatment and understanding. This review aims to present and clarify the major pain syndromes that affect patients who have suffered from stroke in order to aid in their diagnosis and treatment.

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Section: Subluxation and Other Painful Disorders Of The Hemiplegic Shmentioning

confidence: 99%

Demystifying Poststroke Pain: From Etiology to Treatment

Treister

Hatch

Cramer

et al. 2016

PM&R

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show abstract

“…Because several possible aetiologies of HSP exist, numerous treatment methods have been suggested, including electrical stimulation, acupuncture, strapping, sling, handling, positioning and massage and pharmacological therapy. However, none of these treatments has been shown to be significantly superior to others (16)(17)(18). Evidence supporting specific interventions for the management of HSP is limited.…”

mentioning

confidence: 99%

Effects of Kinesio taping for stroke patients with hemiplegic shoulder pain: A double-blind, randomized, placebo-controlled study

Huang¹,

Chang²,

Liou³

et al. 2017

J Rehabil Med

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Objective: To investigate the effects of Kinesio taping for stroke patients with hemiplegic shoulder pain. Design: Double-blind, placebo-controlled clinical trial. Subjects: Twenty-one stroke patients with hemiplegic shoulder pain within 6 months of stroke onset in the rehabilitation ward of a medical university hospital in Taiwan. Methods: A 3-week intervention involving a conventional rehabilitation protocol and therapeutic Kinesio taping was conducted with an experimental group of 11 stroke patients. A control group of 10 stroke patients underwent an identical conventional rehabilitation programme and sham Kinesio taping on the hemiplegic shoulder. Numerical rating scale scores, Shoulder Pain and Disability Index, ultrasound findings and pain-free passive range of motion of the affected shoulder, were evaluated before and after the intervention. Mann-Whitney test was used to compare within-group continuous variables before and after the intervention. Wilcoxon signed-rank test was used to analyse the differences and changes in values between study and control groups. Results: There was no statistical difference in demographic variables between the 2 groups. Both groups showed improvement in passive range of motion of the shoulder, (mean numerical rating scale 2.36 (standard deviation (SD) 1.03)), and mean Shoulder Pain and Disability Index (16.64 (SD 2.62)) after the intervention (p < 0.001); however, no significant between-group differences were observed in the numerical rating scale score, pain-free passive ROM, and ultrasound findings for the shoulder after 3 weeks of treatment. Concerning the variables changes, the therapeutic Kinesio taping group showed more improvement in the numerical rating scale

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“…[4] The prevalence of frozen shoulder in patients with diabetes is as high as 10%–20%[456] and in patients with paralysis 16%–84%. [78]…”

Section: Definition and Basic Clinical Datamentioning

confidence: 99%

Molecular biology of frozen shoulder-induced limitation of shoulder joint movements

Cui

Lü

et al. 2017

J Res Med Sci

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Frozen shoulder is a chronic condition characterized by pain in the shoulder and restriction of movements in all directions. Some patients are left with long-term limitation of shoulder joint activity with various severities, which results in reduced quality of life. Currently, there is a paucity of literature on the molecular biology of frozen shoulder, and the molecular biological mechanism for periarthritis-induced limitation of shoulder joint movements remains unclear. Research in this field is focused on inflammation and cytokines associated with fibrosis. Repeated investigations confirmed alterations of specified inflammatory mediators and fibrosis-associated cytokines, which might be involved in the pathogenesis of frozen shoulder by causing structural changes of the shoulder joint and eventually the limitation of shoulder movements. The aim of this article is to review studies on molecular biology of frozen shoulder and provide a reference for subsequent research, treatment, and development of new drugs.

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Current Evidence in the Management of Poststroke Hemiplegic Shoulder Pain

Cited by 23 publications

References 41 publications

Demystifying Poststroke Pain: From Etiology to Treatment

Demystifying Poststroke Pain: From Etiology to Treatment

Effects of Kinesio taping for stroke patients with hemiplegic shoulder pain: A double-blind, randomized, placebo-controlled study

Molecular biology of frozen shoulder-induced limitation of shoulder joint movements

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