Hemiplegic shoulder pain: a common clinical consequence of stroke

Benlidayı, İlke Coşkun; Başaran, Sibel

doi:10.1136/practneurol-2013-000606

Cited by 34 publications

(27 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The incidence of shoulder pain following stroke reported here is similar that reported by previous prospective studies 1,5 . Unfortunately, shoulder pain is not characterized by a specific definition and the quality of care of these hemiplegic patients widely varies by context and population 3 . It should be noted that our study population was younger than that of previous studies 1,5,9,10,11 .…”

Section: Discussionmentioning

confidence: 99%

“…During the spastic recovery stage, spasticity patterns (adduction and internal rotation) may trigger pain 12 . In addition, subluxation and the need for transfer assistance, which may result in inappropriate pulley use, are important factors in shoulder pain after stroke 2,3,4 . Beside this, shoulder pain after stroke has been associated with a slower improvement in movement after stroke…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have shown a relationship between shoulder pain and upper limb limitations, but, even though the FIM was used (as is in the current study), the impact of shoulder pain on daily life limitations and restrictions after stroke was not clear 1,9,10,11 . Furthermore, it is known that patients who need more assistance, especially during transfer, have a higher incidence of shoulder pain 3 . From this perspective, it is possible that shoulder pain discourages upper limb use and activity performance.…”

mentioning

confidence: 99%

“…The current study also demonstrated that pain was moderate to severe in intensity, which is in agreement with the literature 9 , and that shoulder subluxation was more common in patients with shoulder pain. Subluxation is thought to be associated with motor function and muscle tone impairment and, in such cases, pain results from soft tissue injury 3,10 . Thus, subluxation may be a risk factor for developing shoulder pain 5 .…”

mentioning

confidence: 99%

See 3 more Smart Citations

Upper limb function and functional independence in patients with shoulder pain after stroke

Nickel

Lange

Stoffel

et al. 2017

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

Objective To examine the frequency of shoulder pain following stroke. Methods Stroke patient function was evaluated using the Functional Independence Measure (FIM) and Scale for Upper Limb Function in Stroke (SULFS). Function scores were examined and compared between the shoulder pain group (SPG) and the no shoulder pain group (No-SPG). Results A total of 58 patients, 22 women (37.9%), were included in this study. The mean patient age was 49.2±10.8 years and study evaluations were done 3.52±2.26 months after stroke. A total of 16 patients (27.6%) were in the SPG and 42 patients (72.4%) were in the No-SPG. The SPG scored significantly lower on the FIM (SPG: 91.06±14.65 vs. No-SPG 114.62 ± 2.27; p < 0.01) and SULFS (SPG median: 2 [range: 1-4], No-SPG median: 5 [range: 1-5]; p < 0.01) than the No-SPG. Conclusion Shoulder pain commonly occurs after stroke and is related to the affected upper limb function and functional independence in stroke patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Upper limb function and functional independence in patients with shoulder pain after stroke

Nickel

Lange

Stoffel

et al. 2017

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

show abstract

“…A larger number of participants in the current study also reported having pain when compared to a stroke sample in the United Kingdom. Although pain has not been identified as a symptom impacting on quality of life, shoulder pain is a common occurrence in patients with stroke which impacts on the functional ability of these individuals (Benlidayi & Basaran 2013). …”

Section: Discussionmentioning

confidence: 99%

Health-related quality of life of patients six months poststroke living in the Western Cape, South Africa

Rhoda

2014

AJOD

View full text Add to dashboard Cite

BackgroundThe majority of individuals report a decline in health-related quality of life following a stroke. Quality of life and factors predicting quality of life could differ in individuals from lower income countries. The aim of this study was therefore to determine the quality of life and factors influencing quality of life of community-dwelling stroke patients living in low-income, peri-urban areas in the Western Cape, South Africa.MethodAn observational, longitudinal study was used to collect data from a conveniently selected sample of first-ever stroke patients. The Rivermead Motor Assessment Scale and the Barthel Index were used to determine functional outcome and the EQ-5D was used to collect information relating to quality of life at two months and six months poststroke. Descriptive and inferential statistics were used to analyse the data.ResultsThe total sample of 100 participants consisted of 50% men and 50% women with a mean age of 61 and a standard deviation of 10.55 years. Six-month quality of life data was analysed for 73 of the 100 participants. Of the 27 who were lost to follow-up, nine participants died, four withdrew from the study after baseline data was collected and eleven could not be followed up as they had either moved or no follow-up telephone numbers were available. A further three participants were excluded from the analysis of the EQ-5D as they were aphasic. Of these, approximately 35% had problems with mobility and self-care, whilst 42% had severe problems with everyday activities and 37.8% expressed having anxiety and depression. Quality of life at two months (p = 0.010) and urinary incontinence (p = 0.002) were significant predictors of quality of life at six months.ConclusionHealth-related quality of life was decreased in the South African stroke sample. Functional ability and urinary incontinence were the factors affecting quality of life in the sample. These factors should be considered in the rehabilitation of stroke patients in these settings.

show abstract

Prevalence of Myofascial Trigger Points in Poststroke Patients With Painful Shoulders: A Cross‐Sectional Study

Villafañe

López-Royo

Herrero

et al. 2019

PM&R

View full text Add to dashboard Cite

Background In patients with stroke, hemiplegic shoulder pain can be a major problem. One source of shoulder pain can be myofascial trigger points (MTrPs). Objective To determine the prevalence of myofascial trigger points (MTrPs) and the correlation between MTrPs and pain and function in patients presenting with shoulder pain following a stroke. Design Cross‐sectional study. Setting Department of Physical Therapy. Patients Fifty patients with stroke with shoulder pain. Intervention Not applicable. Main Outcome Measurements The prevalence of the MTrPs located in infraspinatus, supraspinatus, teres minor, and upper trapezius was studied, using the diagnosis criteria recommended by Simons et al. The pressure pain threshold was also evaluated. Pain and function were assessed with the Visual Analogue Scale (VAS) and the Disability of the Arm, Shoulder and Hand (DASH) scale, respectively. Results The prevalence of latent MTrPs was 68%, 92%, 40%, and 62% for supraspinatus, infraspinatus, teres minor, and upper trapezius muscle, respectively. The prevalence of active MTrPs was 34%, 50%, 12%, and 20% for supraspinatus, infraspinatus, teres minor, and upper trapezius muscle, respectively. Pain was moderately correlated with the prevalence of latent MTrPs (r = 0.35; P = .01) and active MTrPs (r = 0.31; P = .03) in the supraspinatus muscle. Disability was measured with the DASH scale and was moderately correlated with latent MTrPs in the infraspinatus (r = 0.31; P = .03) and active MTrPs of the supraspinatus (r = 0.32; P = .02). Conclusions This study shows that the prevalence of MTrPs is high in patents following a stroke. MTrPs in this population are moderately associated with pain and function. Level of Evidence II.

show abstract

Hemiplegic shoulder pain: a common clinical consequence of stroke

Cited by 34 publications

References 12 publications

Upper limb function and functional independence in patients with shoulder pain after stroke

Upper limb function and functional independence in patients with shoulder pain after stroke

Health-related quality of life of patients six months poststroke living in the Western Cape, South Africa

Prevalence of Myofascial Trigger Points in Poststroke Patients With Painful Shoulders: A Cross‐Sectional Study

Contact Info

Product

Resources

About