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The Shoulder Pain after Stroke and the relationship with Motor Function, and Quality of Life  

Lee, Dong-Jin (Department of Physical Therapy, Gwangju health college)
An, Seung-Heon (Department of Physical Therapy, National Rehabilitation Center)
Publication Information
Journal of the Korean Society of Physical Medicine / v.6, no.3, 2011 , pp. 257-266 More about this Journal
Abstract
Purpose : To assess the relationship between post-stroke shoulder pain, motor function, and pain-related quality of life(QOL) Methods : Volunteer sample of 62 chronic stroke survivors with post-stroke shoulder pain and glenohumeral subluxation. The patients answered the question in shoulder pain with the Brief Pain Inventory question 12 (BP1-12), Pain-related Quality of life(BPI-23). Therapists measured the performance of combined upper-limb movement including the hand-behind-neck(HBN), hand-behind-beck(HBB) maneuver, added passive pain-free shoulder external rotation range of motion, and Modified Ashworth Scale(MAS) score of the elbow flexors. Physical performance assessments were used to measure basic activity daily living(Modified Barthel Index-self care, MBI-S/C), motor function of upper limb(Fugl-Meyer Upper/Lower Extremity, FM-U/E). Results : Stepwise regression analyses indicated that post-stroke shoulder pain is associated with the BPI 23, but not with the FM-U/E, MBI-S/C. Thus, the presence of shoulder pain is more important predicting pain-related QOL than its degree in predicting motor function of upper limb and basic activity daily living. Conclusion : Post-stroke shoulder pain was associated with reduced quality of life related to pain. The pain was not associated with the motor function of upper limb and basic activity daily living. The result imply that management of shoulder pain & anatomical position of shoulder joint after stroke should be emphasized. This provides a further incentive to develop effective rehabilitation prevention and treatment strategies for post-stroke shoulder pain.
Keywords
Shoulder pain; Stroke; Upper limb function; Quality of life;
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1 Wanklyn P, Forster A, Young J. Hemiplegic shoulder pain (HSP): natural history and investigation of associated features. Disabil Rehabil. 1996;18(10):497-501.   DOI   ScienceOn
2 Zorowitz RD. Recovery patterns of shoulder subluxation after stroke: a six-month follow-up study. Top Stroke Rehabil. 2001;8(2):1-9.   DOI   ScienceOn
3 Gregson JM, Leathley MH, Moore P et al. Reliability of measurement of muscle tone and muscle power Ag Ageing. 2000;29(3):223-8.   DOI
4 Joynt RL. The source of shoulder pain in hemiplegia. Arch Phys Med Rehabil. 1992;73(5):409-13.
5 Lindgren I, Jonsson AC, Norrving B et al. Shoulder Pain After Stroke: A Prospective Population-Based Study. Stroke. 2007;38(2):343-8.   DOI   ScienceOn
6 Lo SF, Chen SY, Lin HC et al. Arthrographic and clinical findings in patients with hemiplegic shoulder pain. Arch Phys Med Rehabil. 2003;84(12):1786-91.   DOI   ScienceOn
7 Paci M, Nannetti L, Rinaldi LA. Glenohumeral subluxation in hemiplegia: an overview. J Rehabil Res Dev. 2005;42(4):557-68.   DOI   ScienceOn
8 Prato N, Peloso D, Franconeri A et al. The anterior tilt of the acromion: radiographic evaluation and correlation with shoulder disease. Eur J Radiol. 1998;8(9):1639-46.   DOI   ScienceOn
9 Ratnasabapathy Y, Broad J, Baskett J et al. Shoulder pain in people with a stroke: a population-based study. Clin Rehabil. 2003;17(3):304-11.   DOI   ScienceOn
10 Rajaratnam BS, Venketasubramanian N, Kumar PV et al. Predictability of simple clinical tests to identify shoulder pain after stroke. Arch Phys Med Rehabil. 2007;88(8):1016-21.   DOI   ScienceOn
11 Roy CW, Sands MR, Hill LD. Shoulder pain in acutely admitted hemiplegics. Clin Rehabil. 1994;8(4):334-40.   DOI   ScienceOn
12 Tan G, Jensen MP, Thornby JI et al. Validation of the Brief Pain Inventory for chronic nonmalignant pain. J Pain. 2004;5(2):133-7.   DOI   ScienceOn
13 Tulsky D, Chiaravalloti N. Measuring quality of life in rehabilitation medicine. In: DeLisa J, Gans B, Walsh NE, editors. Physical medicine and rehabilitation: principles and practices. 4th ed. Vol 2. Philadelphia: Lippincott Williams & Wilkins; 2005;1193-204.
14 Turner-Stokes L, Jackson D. Shoulder pain after stroke: a review of the evidence base to inform the development of an integrated care pathway. Clin Rehabil. 2002;16(3):276-98.   DOI   ScienceOn
15 Von Korff M, Jensen MP, Karoly P. Assessing global pain severity by self-report in clinical and health services research. Spine. 2000;25(24):3140-51.   DOI   ScienceOn
16 Vuagnat H, Chantraine A. Shoulder pain in hemiplegia revisited: contribution of functional electrical stimulation and other therapies. J Rehabil Med. 2003;35(2):49-54.   DOI   ScienceOn
17 Biila CJ, Martin E, Rochat S et al. Validation of an Adapted Falls Efficacy Scale in Older Rehabilitation Patients. Arch Phys Med Rehabil. 2008;89(2):291-6.   DOI   ScienceOn
18 Broeks JG, Lankhorst GJ, Rumpling K et al. The long-term outcome of arm function after stroke: results of a follow-up study. Disabil Rehabil. 1999;2(8)1:357-64.
19 Chae J, Mascarenhas D, Yu DT et al. Poststroke shoulder pain: its relationship to motor impairment, activity limitation, and quality of life. Arch Phys Med Rehabil. 2007;88(3):298-301.   DOI   ScienceOn
20 Cleeland CS, Ryan KM. Pain assessment: global use of the Brief Pain Inventory. Ann Acad Med Singapore. 1994;23(2):129-38.
21 Fugl-Meyer AR, Jaasko L, Leyman I et al. The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scandinavian Journal of Rehabilitation Medicine. 1975;7(1):13-31.
22 Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987, Jan(214):160-4.
23 Doshi VS, Say JH, Young SH et al. Complications in stroke patients: a study carried out at the Rehabilitation Medicine Service, Changi General Hospital. Singapore Med J. 2003;44(12):643-52.
24 Dromerick AW, Edwards DF, Kumar A. Hemiplegic shoulder pain syndrome: frequency and characteristics during inpatient stroke rehabilitation. Arch Phys Med Rehabil. 2008;89(8):1589-93.   DOI   ScienceOn
25 Gamble GE, Barberan E, Bowsher D et al. Post stroke shoulder pain: more common than previously realized. Eur J Pain. 2000;4(3):313-5.   DOI   ScienceOn
26 Gamble GE, Barberan E, Laasch H et al. Post stroke shoulder pain: a prospective study of the association and risk factors in 152 patients from a consecutive cohort of 205 patients presenting with stroke. Eur J Pain. 2002;6(6):467-74.   DOI   ScienceOn
27 Gladstone, DJ, Danells CJ, Black SE. The fugl-meyer assessment of motor recovery after stroke: a critical review of its measurement properties. Neurorehabilitation Neural Repair. 2002;16(3):232-40.   DOI   ScienceOn
28 Granger CV, Albrecht GL, Hamilton BB. Outcome of comprehensive medical rehabilitation: Measurement by PULSES profile and the Barthel Index. Arch Phys Med Rehabil. 1979;60(4):145-54.
29 Bender L, McKeena K. Hemiplegic shoulder pain: defining the problem and its management. Disabil Rehabil. 2001;23(16):698-705.   DOI   ScienceOn