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Hemiplegic shoulder pain: defining the problem and its management
1The Prince Charles Hospital, Brisbane, Queensland, Australia. loubender@bigpond.com.au
Disability and Rehabilitation
|December 6, 2001
Summary
Hemiplegic shoulder pain affects stroke survivors, impacting rehabilitation. An optimal management program may include external support, proper positioning, stretching, motor retraining, and scapular strapping.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Physical Therapy
Background:
- Hemiplegic shoulder pain (HSP) affects up to 70% of stroke survivors.
- HSP negatively impacts rehabilitation outcomes and patient quality of life.
Purpose of the Study:
- To review the literature on the causes of HSP.
- To identify therapeutic techniques for preventing and treating HSP.
- To explore components of an optimal HSP management program.
Main Methods:
- Systematic review of English language articles.
- Searched CINAHL and MEDLINE databases (1990-2000).
- Supplemented with citation tracking and manual searches.
Main Results:
- An optimal HSP management program may include:
- External upper limb support when seated.
- Careful bed positioning.
- Daily static positional stretches.
- Motor retraining.
- Scapular strapping for postural tone and symmetry.
Conclusions:
- Further research is needed to evaluate the effectiveness of proposed HSP management components.
- Investigate optimal combinations of interventions for best outcomes.
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