shoulder pain in stroke
TRANSCRIPT
Shoulder pain in stroke. Relation to clinical and functional factors.
dr n.med. Agnieszka Sobierajska-Rek
Department of Rehabilitation, Medical University of Gdansk
Design of the project
Part I (grant for Young Researchers MNiSW)
Find causes of the shoulder pain in stroke patients
- Central pain?
- Rotator cuff disorders?
- Adhesive capsulitis?
- Subluxation?
- Other?
Part II Construct effective profilaxis and
physiotherapy of shoulder pain in stroke
Inpatient therapy (acute and hronic phase)
Home therapy with the suport of telerehabilitation (Norwegian Centre of Integrated Care and Telemedicine)
Objectives
To clarify clinical factors related to occurence of the shoulder pain in stroke patients
To assess influence of the functional condition on intensity of the pain
To evaluate differences in muscular activity on affected and non-affected shoulder.
To assess differences in muscular activity between patients with- and without pain.
Material
patients of Department of Rehabilitation MUG with hemiplegia caused by stroke
Research group
- Patients with shoulder pain during passive/active movement or in static positions
Control group- Patients without shoulder pain
Exclusion criteria: lack of symptoms of plegia in upper limb, previous injuries or diseases in shoulder area
Methods
Modified Ashworth scale of spasticity
Brunnström scale of functional ability of upper limb ,
pain intensity (Visual Analogue Scale),
shoulder impingement evaluated with Neer’s test and Lock test,
stability of scapulohumeral joint
pain on pressure with the use of pressure algometer
muscular activity of supraspinatus and long head of biceps with the use of electromyography
Examination 4-8 weeks after stroke