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Titre : | Shoulder pain after recent stroke (SPARS): hemiplegic shoulder pain incidence within 72 hours post-stroke and 810 week follow-up (2020) |
Auteurs : | Martine Nadler ; Mathilde Pauls ; Gillian Cluckie ; Barry Moynihan ; Anthony C. Pereira |
Type de document : | Article |
Dans : | Physiotherapy (Vol. 107, 2020) |
Article en page(s) : | p. 142-149 |
Note générale : | https://doi.org/10.1016/j.physio.2019.08.003 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Hémiplégie ; Luxation de l'épaule ; Réadaptation ; Scapulalgie |
Résumé : |
Objectives
This study aimed to identify very early incidence of hemiplegic shoulder pain within 72 hours (HSP), how clinical assessment was related to pain at 810 week follow-up and explore current standard therapy/management. Design Observational, prospective. Setting Teaching hospital hyper-acute and follow-up stroke services. Participants 121 consecutive patients with confirmed cerebral infarct/haemorrhage recruited within 72 hours of stroke onset. Interventions N/A. Main outcome measures Subjective report of pain severity and aggravating factors: using numerical rating scales and pain questionnaire (ShoulderQ), shoulder abductor and flexor muscle strength (Oxford MRC Scale), Neers Test of sub-acromial pain, shoulder subluxation and soft tissue shoulder palpation. Results At initial assessment ( Conclusion This study reports HSP at an earlier time point after stroke than previous publications. Patients with severe arm weakness and/or shoulder subluxation within 72 hours are at significantly higher risk of HSP at 810 weeks. These data highlight the high incidence of HSP, the non-standardized therapy approach, and can inform sample size calculations for future intervention studies. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940619300951 |