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Shoulder pain and concomitant hand oedema among strokepatients with pronounced arm paresis
Rehabcentrum, Skellefteå Hospital, Sweden.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine.
Rehabcentrum, Skellefteå Hospital, Sweden.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.ORCID iD: 0000-0002-8184-6360
2013 (English)In: European journal of physiotherapy, ISSN ISSN 2167-9169, EISSN 2167-9177, Vol. 15, no 4, 208-214 p.Article in journal (Refereed) Published
Abstract [en]

Background: The aim of this prospective study was to identify clinical factors associated with the development of shoulder pain in stroke patients with pronounced arm paresis. Methods: At stroke onset, 485 patients were initially assessed in 2007 – 2009. Sixty-three patients with pronounced arm paresis completed the study, and 21 of these developed shoulder pain. Clinical findings were recorded fortnightly by the attending physiotherapist during hospital stay. Results: Hand oedemaon the paretic side was more common in patients developing shoulder pain compared with those who did not develop shoulder pain. The onset of shoulder pain was associated with concomitant hand oedema. High NIHSS score was associated with developing shoulder pain. Patients with a history of shoulder pain developed pain earlier than those without previous shoulder pain. Patients with haemorrhagic stroke were significantly more prone to developing shoulder pain. Conclusions: One-third of the stroke patients with pronounced arm paresis developed shoulder pain. Concomitant hand oedema seems to be an additional symptom of shoulder injury. Patients with low general status are more vulnerable to develop post-stroke shoulder pain.

Place, publisher, year, edition, pages
Informa Healthcare, 2013. Vol. 15, no 4, 208-214 p.
Keyword [en]
arm injuries, cerebrovascular disorders, hemiplegia, prospective studies, rehabilitation
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:umu:diva-84906DOI: 10.3109/21679169.2013.843202OAI: oai:DiVA.org:umu-84906DiVA: diva2:689910
Available from: 2014-01-22 Created: 2014-01-22 Last updated: 2015-04-29Bibliographically approved

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf