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Upper limb function and functional independence in patients with shoulder pain after stroke.
Renato Nickel1, Marcos Lange2, Diane Priscila Stoffel1
1Universidade Federal do Paraná, Departamento de Terapia Ocupacional, Curitiba PR, Brasil.
Arquivos De Neuro-Psiquiatria
|February 23, 2017
Summary
Shoulder pain is common after stroke, affecting over a quarter of patients. This pain is linked to reduced upper limb function and overall functional independence in stroke survivors.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Clinical Outcomes
Background:
- Stroke frequently leads to secondary complications.
- Shoulder pain is a prevalent issue post-stroke, impacting recovery.
Purpose of the Study:
- To determine the incidence of shoulder pain in stroke patients.
- To investigate the relationship between shoulder pain and functional outcomes.
Main Methods:
- Evaluated 58 stroke patients using the Functional Independence Measure (FIM) and Scale for Upper Limb Function in Stroke (SULFS).
- Compared functional scores between patients with shoulder pain (SPG) and without (No-SPG).
Main Results:
- 27.6% of patients experienced shoulder pain (SPG).
- The SPG demonstrated significantly lower FIM and SULFS scores compared to the No-SPG (p < 0.01).
- Mean evaluation time was 3.52 months post-stroke.
Conclusions:
- Shoulder pain is a common post-stroke complication.
- Affected upper limb function and functional independence are associated with shoulder pain in stroke survivors.

