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Related Experiment Videos

Shoulder pain after stroke: a prospective population-based study.

Ingrid Lindgren1, Ann-Cathrin Jönsson, Bo Norrving

  • 1Department of Neurology, Clinical Sciences, Lund University, Lund, Sweden. ingrid.a.lindgren@skane.se

Stroke
|December 23, 2006
PubMed
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Shoulder pain affects nearly one-third of stroke survivors, often with moderate to severe intensity. Impaired arm function and lower general health status increase the risk, highlighting the need for focused post-stroke care.

Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Clinical Outcomes

Background:

  • Shoulder pain is a common complication following stroke.
  • Limited data exists on its prevalence, predictors, and outcomes in unselected stroke populations.

Purpose of the Study:

  • To investigate the prevalence, predictors, and functional impact of shoulder pain in a population-based stroke cohort.
  • To identify risk factors associated with shoulder pain development and persistence after stroke.

Main Methods:

  • A 1-year prospective study of 416 first-ever stroke patients from the Lund Stroke Register.
  • Assessment of shoulder pain (intensity, onset), arm motor function, and functional status (Barthel Index) at 4 and 16 months post-stroke.
  • General health status (NIH Stroke Scale) recorded at stroke onset.

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Main Results:

  • 22% of patients developed shoulder pain within 4 months post-stroke, with 79% experiencing moderate-to-severe pain.
  • Impaired arm motor function and higher NIH Stroke Scale scores were significant predictors of shoulder pain.
  • Shoulder pain frequently restricted dressing and ambulation, impacting daily life significantly at both follow-ups.

Conclusions:

  • Nearly one-third of stroke patients develop shoulder pain, often severe, significantly impacting daily activities.
  • Impaired arm motor function and lower general status are key risk factors, necessitating targeted interventions in post-stroke care.
  • Early identification and management of shoulder pain are crucial for improving functional recovery and quality of life after stroke.