The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Induction of Pain in the Ipsilateral Lower Limb from Long-term Cane Usage after Stroke

만성 뇌졸중 환자에서 장기간 지팡이 사용이 건측 하지 통증 발현에 미치는 영향

  • Son, Sung-Min (Department of Rehabilitation Science, Graduate School, Daegu University) ;
  • Kwon, Jung-Won (Department of Rehabilitation Science, Graduate School, Daegu University) ;
  • Nam, Seok-Hyun (Department of Rehabilitation Science, Graduate School, Daegu University) ;
  • Kim, Chung-Sun (Department of Physical Therapy, College of Rehabilitation Science, Daegu University)
  • 손성민 (대구대학교 대학원 재활과학과) ;
  • 권중원 (대구대학교 대학원 재활과학과) ;
  • 남석현 (대구대학교 대학원 재활과학과) ;
  • 김중선 (대구대학교 재활과학대학 물리치료학과)
  • Received : 2013.01.15
  • Accepted : 2013.02.08
  • Published : 2013.02.25
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Abstract

Purpose: To investigate whether the long-term use of a cane induces pain in the unaffected lower limb of stroke patients. Methods: A total of 107 stroke patients with chronic hemiparesis were recruited in this study and classified into two groups; a cane-use group (n=49) and non-cane-use group (n=58). The existence of pain in the unaffected lower limb was assessed on a visual analog scale in the hip, knee, and ankle joint, and the University of Alabama pain behaviors scale (UAB pain behavior scale) used to measure the intensity of pain. In addition, the Motricity Index (MI) was tested in the upper and lower extremities. Results: The proportion of pain in each joint of the lower limb was significantly higher in the cane-use group, compared to the non-cane-use group (p<0.05). In addition, significant differences were observed on the UAB pain behavior scale between the two groups. The lower MI score was significantly lower in the cane-use group, compared with the control group. However, no difference was observed in MI scores of the upper limb between the two groups. Conclusion: These findings reveal that long-term cane usage can induce pain in the unaffected lower limb of stroke patients. We suggest careful consideration when prescribing a cane, depending on functional ability in hemiparetic patients, and recommend continuous evaluation for pain in the affected lower limb.

Keywords

References

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