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Shoulder pain in hemiplegia: statistical relationship with five variables.
Archives of Physical Medicine and Rehabilitation
|August 1, 1986
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.
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:
- 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.
