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Related Experiment Videos

Shoulder pain in hemiplegia: statistical relationship with five variables.

R W Bohannon, P A Larkin, M B Smith

    Archives of Physical Medicine and Rehabilitation
    |August 1, 1986
    PubMed
    Summary

    Shoulder pain is common in hemiplegia patients. Reduced shoulder external rotation range is the most significant factor linked to this pain, suggesting adhesive capsulitis may be a cause.

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    Area of Science:

    • Neurology
    • Orthopedics
    • Rehabilitation Medicine

    Background:

    • Shoulder pain is a frequent complication in hemiplegic patients.
    • Understanding the contributing factors is crucial for effective management and improving patient outcomes.

    Purpose of the Study:

    • To investigate the incidence of shoulder pain in hemiplegic individuals.
    • To identify statistical relationships between shoulder pain and key patient variables.

    Main Methods:

    • Retrospective analysis of medical records from 50 consecutive hemiplegic patients.
    • Statistical correlation analysis was performed to assess relationships between shoulder pain and variables including age, time since hemiplegia onset, range of shoulder external rotation, spasticity, and weakness.

    Main Results:

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    • 36 out of 50 patients experienced shoulder pain.
    • Significant correlations (p < 0.01) were found between shoulder pain and time since hemiplegia onset (r = 0.45) and range of hemiplegic shoulder external rotation (ROSER) (r = -0.61).
    • Range of shoulder external rotation remained a significant predictor of shoulder pain even after accounting for other factors.

    Conclusions:

    • Reduced range of shoulder external rotation is the most significant factor associated with shoulder pain in hemiplegic patients.
    • The findings suggest that shoulder pain in this population may be partly attributed to adhesive capsulitis.