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Decrease in post-stroke spasticity and shoulder pain prevalence over the last 15 years.

Diane Menoux1, Marylène Jousse1, Victorine Quintaine1

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Disabling spasticity and shoulder pain after stroke have decreased significantly over 15 years. Functional abilities improved, but cognitive disorders increased, suggesting evolving post-stroke care needs.

Keywords:
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Area of Science:

  • Neurology
  • Physical Medicine and Rehabilitation
  • Stroke Research

Background:

  • Post-stroke complications like spasticity and shoulder pain traditionally impact patient recovery.
  • Recent clinical observations suggested a potential decline in the frequency of these complications.

Purpose of the Study:

  • To investigate the temporal trends in the prevalence of disabling spasticity and shoulder pain among post-stroke patients.
  • To analyze changes in functional outcomes and associated clinical characteristics over a 15-year period.

Main Methods:

  • Retrospective analysis of 786 inpatient medical records over 15 years.
  • Evaluation of spasticity and shoulder pain prevalence, alongside demographic, clinical, and stroke-specific data.
  • Statistical analysis to identify trends and associations over time.

Main Results:

  • Prevalence of disabling spasticity decreased from 31% to 10% (P<0.001) between 2006 and 2015.
  • Shoulder pain incidence also declined from 13% to 8% (P<0.001) during the study period.
  • Improved functional independence scores and increased prevalence of cognitive disorders were observed.

Conclusions:

  • A significant decrease in disabling spasticity and shoulder pain was observed in recent post-stroke patients.
  • Functional abilities at admission and discharge have improved, potentially linked to increased mobility.
  • These findings may indicate improvements in stroke care and necessitate re-evaluation of rehabilitation resource allocation.