کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3450324 1595738 2011 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Persistent Shoulder Pain in the First 6 Months After Stroke: Results of a Prospective Cohort Study
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
پیش نمایش صفحه اول مقاله
Persistent Shoulder Pain in the First 6 Months After Stroke: Results of a Prospective Cohort Study
چکیده انگلیسی

Roosink M, Renzenbrink GJ, Buitenweg JR, Van Dongen RT, Geurts AC, IJzerman MJ. Persistent shoulder pain in the first 6 months after stroke: results of a prospective cohort study.ObjectiveTo identify factors associated with persistent poststroke shoulder pain (pPSSP) in the first 6 months after stroke.DesignProspective inception cohort study.SettingStroke units of 2 teaching hospitals.ParticipantsPatients (N=31) with a clinical diagnosis of stroke.InterventionsNot applicable.Main Outcome MeasuresThe development of pPSSP within the first 6 months after stroke. Clinical assessment of motor, somatosensory, cognitive, emotional, and autonomic functions, undertaken within 2 weeks (t0), at 3 months (t1), and at 6 months (t2) after stroke.ResultsPatients with pPSSP (n=9) were compared with patients without pPSSP (n=22). Bivariate logistic regression analyses showed that pPSSP was significantly associated with impaired voluntary motor control (t0, t1, t2), diminished proprioception (t0, t1), tactile extinction (t0), abnormal sensation (t1, t2), spasticity of the elbow flexor muscles (t1, t2), restricted range of motion (ROM) for both shoulder abduction (t2) and shoulder external rotation (t1, t2), trophic changes (t1), and type 2 diabetes mellitus (t0).ConclusionsThese findings suggest a multifactorial etiology of pPSSP. The association of pPSSP with restricted, passive, pain-free ROM and signs indicative of somatosensory sensitization may implicate a vicious cycle of repetitive (micro)trauma that can establish itself rapidly after stroke. Intervention should therefore be focused on maintaining and restoring joint ROM as well as preventing injury and somatosensory sensitization. In this perspective, strategies that aim to intervene simultaneously at various levels of function can be expected to be more effective than treatment directed at merely 1 level.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Archives of Physical Medicine and Rehabilitation - Volume 92, Issue 7, July 2011, Pages 1139–1145
نویسندگان
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