Hemiplegic shoulder pain – clinical factors and pain pressure sensitivity

Agnieszka Sobierajska-Rek

A. Sobierajska-Rek – Hemiplegic shoulder pain – clinical factors and pain pressure sensitivity. FP 2017; 17(4); 24-32

Abstract

Shoulder pain is a typical symptom accompanying upper extremity paresis or plegia after stroke.
Aim of the study. The aim of this study was to determine relationship among clinical factors, such as subluxation or impingement syndrome, spasticity, pain pressure sensitivity and incidence of shoulder pain in stroke patients.
Material and methods. Stroke survivors with hemiplegic shoulder pain (n = 26), and the controls without shoulder pain (n = 11) underwent pain pressure threshold measure at biceps and supraspinatus, soft tissues in shoulder region, motor function of upper limb in Brunnstrom scale and spasticity were assessed.
Results. There was no difference in sensitivity in supraspinatus, but the correlation at the level of statistical tendency is present in biceps. Spasticity was more severe in the shoulder pain group, and intensity of pain was correlated with an increase in muscle tonus.
Conclusion. There is correlation between the pain in hemiplegic shoulder and symptoms of impingement syndrome and subluxation in shoulder joint. The tendency to increased pain pressure sensitivity was observed in biceps in the group with shoulder pain.

Key words:
stroke, hemiplegia, shoulder pain

Pobierz/Download/下載/Cкачиваете Download for free (only English version)