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

Author:

Nickel Renato1,Lange Marcos1,Stoffel Diane Priscila1,Navarro Elaine Janeczko2,Zetola Viviane F1

Affiliation:

1. Universidade Federal do Paraná, Brasil

2. Hospital do Idoso Zilda Arns, Brasil

Abstract

ABSTRACT 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.

Publisher

FapUNIFESP (SciELO)

Subject

Neurology,Clinical Neurology

Reference12 articles.

1. Prevalence of hemiplegic shoulder pain in post-stroke patients: a hospital based study;Joy AK;IJPMR,2012

2. Shoulder pain and subluxation after stroke: correlation or coincidence?;Zorowitz RD;Am J Occup Ther,1996

3. Hemiplegic shoulder pain: a common clinical consequence of stroke;Coskun Benlidayi I;Pract Neurol,2014

4. Hemiplegic shoulder pain: implications for occupational therapy treatment;Gilmore PE;Can J Occup Ther,2004

5. Hemiplegic shoulder pain syndrome: frequency and characteristics during inpatient stroke rehabilitation;Dromerick AW;Arch Phys Med Rehabil,2008

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