Shoulder pain as residual injury after hospital discharge in patients admitted to ICU for COVID-19 pneumonia

Gutiérrez, A.B. Puentes; Sánchez-Casado, M.; Díaz-Jiménez, Macarena

doi:10.1016/j.medcle.2020.11.010

Cited by 3 publications

(6 citation statements)

References 5 publications

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“…Along with this, SARS CoV-2 also causes alterations in nervous and muscular microcirculation [ 3 ]. There are also anatomo-functional disorders linked to prolonged positioning during long ICU stays, which would generate nerve compression and rotator cuff pinching by increasing shoulder impingement, in contrast to the supine position [ 3 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Evaluations after two months showed that 18 people (47.4%) presented shoulder pain. The researchers attributed this pain to age, illness severity, prolonged opioid use, MV ≥ 12 days, ICU stay ≥ 15 days and the prone position [ 6 ]. Results from the present study coincide in age and BMI of the studied sample.…”

Section: Discussionmentioning

confidence: 99%

“…These medications eliminate muscle tone and cause a decrease in dynamic containment in the shoulder, as well as place the glenohumeral joint at an inherent risk of subluxation in the PD position. This instability could therefore have contributed to generating the damage reported by the shoulder ultrasound [ 3 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…On the physical side, the high rate of chronic musculoskeletal pain is notable [2]. In this regard, shoulder pain is frequent (5-80%), which can last for 6-12 months after leaving the hospital [6]. This affects upper limb function, generating higher costs to public health and the national economy, as well as lower productivity and other problems [2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

“…In this regard, shoulder pain is frequent (5-80%), which can last for 6-12 months after leaving the hospital [6]. This affects upper limb function, generating higher costs to public health and the national economy, as well as lower productivity and other problems [2][3][4][5][6]. In addition, musculoskeletal disorders affect people's quality of life, shoulder pain in particular [7,8].…”

Section: Introductionmentioning

confidence: 99%

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Shoulder Pain in COVID-19 Survivors Following Mechanical Ventilation

Álvarez¹,

Valle

Sol

et al. 2021

IJERPH

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COVID-19 has caused a certain proportion of patients to be hospitalized in intensive care units (ICU) and may cause musculoskeletal and neurological deficits following intubation and mechanical ventilation. The aim of this study was to quantify and describe the presence of shoulder pain in patients released from hospitals after suffering COVID-19. Patients with positive Apley tests were sent to a physiatrist for a clinical evaluation, ultrasound and electromyography (EMG). This evaluation was completed with a pain scale, joint range and shoulder muscle strength evaluations. Of the one-hundred-sixteen patients, seventy eight entered the respiratory rehabilitation program. Twenty patients were sent to the multidisciplinary shoulder team for positive Apley scratch tests. Of these twenty patients, one had only an EMG, ten had only ultrasounds, seven had an EMG and ultrasound and two did not need complementary tests. The twenty patients were sent to the physical therapist, with all presenting pain and diminished joint range and muscle strength in the affected shoulder. In this context, shoulder pain could be associated with the prone position in the ICU. We suggest time control and position change for patients on mechanical ventilation in a prone position with COVID-19.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%