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

Nickel, Renato; Lange, Marcos Christiano; Stoffel, Diane Priscila; Navarro, Elaine Janeczko; Zétola, Viviane Flumignan

doi:10.1590/0004-282x20160195

Cited by 13 publications

(9 citation statements)

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“…In a previous study, post-stroke patients with shoulder pain had reduced upper limb function and lower daily functional independence (evaluated with the Functional Independence Measure) when compared to patients without shoulder pain. 10 In addition, post-stroke patients with impaired quality of life are likely to be functionally dependent. 11 Therefore, managing pain is important, not only for its relief, but also to improve upper limb function, functional independence, and ultimately, for their quality of life.…”

Section: Discussionmentioning

confidence: 99%

Stroke - shoulder pain and upper limb function

P¹,

Ferro²,

Pires³

et al. 2022

IPMRJ

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Introduction: Stroke causes disability and pain, especially shoulder pain. Often, shoulder pain, has a not completely known mechanism and evolution.1,2 Objectives: Assess shoulder pain and its impact in upper limb function, in patients who had suffered a stroke within 6 months. Methods: Observational study. Included patients at discharge from an inpatient rehabilitation centre, from November 2019 until February 2020. Assessment was done using validated Portuguese versions of the Brief Pain Inventory (BPI) and Fugl Meyer Assessment Scale (FMAS). Results: Of 32 patients screened, 26 fulfilled the inclusion criteria, 7 were females (26,9 %), with mean age of 60,7±10 years. Mean values of BPI Severity and Interference were 3,2±1,6 and 2,4±1,8, respectively. The mean values of the FMAS Motor Function and Passive Articular Movement were 38,8±23,2 and 20,3±2,3, respectively. Analysing the association between both subscales of BPI and both Subscales of FMAS negative correlations were found to be statistically significant with a confidence interval of 95% but there was no correlation between BPI Severity and FMAS motor function. Six patients (23%) received a local injection for shoulder pain. Analysing both groups, BPI Severity and both subscales of FMAS showed a statistically significant difference (p values of 0,0083, 0,0031 and 0,0056, respectively) for a Wilcoxon/Kruskal-Wallis test with a confidence interval of 95%. Discussion/Conclusions: Patients with voluntary upper limb movements after a stroke tend to have less shoulder pain. Local injection was an effective intervention for shoulder pain. The greatest limitation of this study is the small sample size.

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Section: Discussionmentioning

confidence: 99%

Stroke - shoulder pain and upper limb function

P¹,

Ferro²,

Pires³

et al. 2022

IPMRJ

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“…Em relação à dor e o grau de independência, resultados semelhantes foram encontrados em um estudo que avaliou a independência funcional em pacientes com ombro doloroso pós-AVE, sendo descrito que a dor desencoraja os pacientes a realizar os movimentos do membro superior acometido, o que posteriormente interfere na recuperação funcional, contudo, essa relação ainda não está elucidada (NICKEL et al, 2017). Por outro lado, estudos conduzidos por KAIHO et al (2017), demonstraram nenhuma associação significativa entre a gravidade da dor com a incapacidade funcional ocasionada por AVE.…”

Section: Exame Do Estado Mental (Meem)unclassified

Complicações Secundárias À Presença De Dor E Espasticidade Em Pacientes Neurológicos

Costa¹,

Limeira²,

Morau³

et al. 2020

Processos De Intervenção Em Fisioterapia E Terapia Ocupacional 2

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Direitos para esta edição cedidos à Atena Editora pelos autores.Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons.Atribuição-Não-Comercial-NãoDerivativos 4.0 Internacional (CC BY-NC-ND 4.0). O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores, inclusive não representam necessariamente a posição oficial da Atena Editora. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais.Todos os manuscritos foram previamente submetidos à avaliação cega pelos pares, membros do Conselho Editorial desta Editora, tendo sido aprovados para a publicação.A Atena Editora é comprometida em garantir a integridade editorial em todas as etapas do processo de publicação. Situações suspeitas de má conduta científica serão investigadas sob o mais alto padrão de rigor acadêmico e ético.

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“…Poststroke shoulder pain (PSSP) is a common complication that usually appears within 2 weeks−2 months after the occurrence of stroke ( 1 , 2 ). It has a negative effect on the recovery of motor and sensory function and seriously affects the quality of life of patients ( 3 ). Additionally, PSSP can lead to psychological changes and sleep disorders, including depression, anxiety, fear avoidance, hypervigilance, pain catastrophizing, difficulty falling asleep, early awakening ( 4 , 5 ).…”

Section: Introductionmentioning

confidence: 99%

Incidence and Prevalence of Poststroke Shoulder Pain Among Different Regions of the World: A Systematic Review and Meta-Analysis

et al. 2021

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Objectives: Poststroke shoulder pain (PSSP) is a common complication after stroke. This review aimed to provide updated information on the epidemiological characteristics of PSSP, reveal their trends over time and region.Study Design and Setting: We searched the PubMed, Embase, Cochrane Library and Web of Science databases from inception until Dec 31, 2020. Data were extracted from the eligible studies, and their quality was assessed. The pooled incidence and prevalence estimates of PSSP and their 95% confidence intervals (CIs) were calculated. We analyzed the incidence and prevalence of PSSP by different geographical regions and countries and separately calculated the annual incidence and prevalence (and 95% CIs) of PSSP.Results: A total of 21 studies were eligible for the meta-analysis. Eleven cohort studies were included to analyze the incidence of PSSP, and the estimated pooled incidence in 3,496 stroke patients was 0.29 (95% CI 0.21–0.36). Ten cross-sectional studies were included to analyze the prevalence of PSSP, and the pooled prevalence in 3,701 stroke patients was 0.33 (95% CI 0.22–0.43). In addition, we found that there were significant differences in the incidence and prevalence of PSSP between different geographical regions and different countries. Additionally, the incidence of PSSP fluctuated around 30%, and the prevalence had a downward trend over time.Conclusions: Current evidence suggests that the incidence and prevalence of PSSP are high and may be influenced by geographical region and time.

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

Cited by 13 publications

References 10 publications

Stroke - shoulder pain and upper limb function

Stroke - shoulder pain and upper limb function

Complicações Secundárias À Presença De Dor E Espasticidade Em Pacientes Neurológicos

Incidence and Prevalence of Poststroke Shoulder Pain Among Different Regions of the World: A Systematic Review and Meta-Analysis

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