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Treating patients with hemiplegic shoulder pain.
Ingrid A K Snels1, Jos H M Dekker, Johanna H van der Lee
1Department of Rehabilitation Medicine, University Hospital, Vrije Universiteit, Amsterdam, The Netherlands.
American Journal of Physical Medicine & Rehabilitation
|January 25, 2002
Summary
This review examined treatments for hemiplegic shoulder pain. Due to limited study quality, definitive conclusions are absent, but functional electrical stimulation and corticosteroid injections show promise.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Pain Management
Background:
- Hemiplegic shoulder pain (HSP) is a common complication following stroke.
- Effective treatment strategies for HSP are crucial for patient recovery and quality of life.
Purpose of the Study:
- To review and synthesize the evidence on the efficacy of various treatments for hemiplegic shoulder pain.
- To identify the most effective treatment options based on available research.
Main Methods:
- A systematic review of published studies on HSP treatments was conducted.
- Fourteen selected studies were analyzed to assess treatment efficacy.
Main Results:
- The overall quality of the 14 selected studies was poor, limiting the ability to draw firm conclusions.
- Functional electrical stimulation (FES) and intra-articular triamcinolone acetonide injections emerged as potentially effective interventions.
Conclusions:
- Current evidence is insufficient to definitively determine the most effective treatment for hemiplegic shoulder pain.
- Further high-quality research is needed, but FES and corticosteroid injections warrant consideration as promising therapeutic options.