Post-stroke shoulder pain subtypes classifying criteria: towards a more specific assessment and improved physical therapeutic care.

Exercise Therapy / standards Humans Physical Examination Quality of Life Shoulder Pain / physiopathology Stroke / physiopathology
Cerebrovascular accident Disease management Rehabilitation Shoulder pain Symptom assessment

Journal

Brazilian journal of physical therapy
ISSN: 1809-9246
Titre abrégé: Braz J Phys Ther
Pays: Brazil
ID NLM: 101615124

Informations de publication

Date de publication:
Historique:
received: 18 04 2018
revised: 05 12 2018
accepted: 18 02 2019
pubmed: 12 3 2019
medline: 17 7 2020
entrez: 12 3 2019
Statut: ppublish

Résumé

Post-stroke Shoulder Pain (PSSP) is a common stroke-related syndrome that prolongs hospitalization and diminishes quality of life. PSSP studies were unsuccessful in clarifying pathophysiological mechanisms. Therefore, cohort's studies with greater variety of the sample and larger follow-up period could provide additional clinical data and may improve medical care. To classify people with PSSP and identify intergroup clinical differences, providing additional data useful for therapeutic care planning. One thousand individuals with stroke were selected from all levels of one health Area and followed up during one year. Demographic data, stroke clinical characteristics, stroke-related symptoms and rehabilitation parameters were collected. The shoulder muscle impairment was used to group participants into three clinical profiles: severe muscular impairment, moderate muscular impairment and low muscular impairment groups. A total of 119 individuals were diagnosed with PSSP. The suggested classification criteria showed two groups that differed significantly in relation to the onset and duration of PSSP, presence of sensory and speech impairment, and spasticity. The outcomes did not firmly support the existence of a third suggested PSSP subtype. PSSP may vary in onset, clinical manifestations, severity and syndrome duration. These results highlight the course of different clinical profiles and require multidisciplinary management approaches.

Sections du résumé

BACKGROUND BACKGROUND
Post-stroke Shoulder Pain (PSSP) is a common stroke-related syndrome that prolongs hospitalization and diminishes quality of life. PSSP studies were unsuccessful in clarifying pathophysiological mechanisms. Therefore, cohort's studies with greater variety of the sample and larger follow-up period could provide additional clinical data and may improve medical care.
OBJECTIVE OBJECTIVE
To classify people with PSSP and identify intergroup clinical differences, providing additional data useful for therapeutic care planning.
METHODS METHODS
One thousand individuals with stroke were selected from all levels of one health Area and followed up during one year. Demographic data, stroke clinical characteristics, stroke-related symptoms and rehabilitation parameters were collected. The shoulder muscle impairment was used to group participants into three clinical profiles: severe muscular impairment, moderate muscular impairment and low muscular impairment groups.
RESULTS RESULTS
A total of 119 individuals were diagnosed with PSSP. The suggested classification criteria showed two groups that differed significantly in relation to the onset and duration of PSSP, presence of sensory and speech impairment, and spasticity. The outcomes did not firmly support the existence of a third suggested PSSP subtype.
CONCLUSIONS CONCLUSIONS
PSSP may vary in onset, clinical manifestations, severity and syndrome duration. These results highlight the course of different clinical profiles and require multidisciplinary management approaches.

Identifiants

DOI: 10.1016/j.bjpt.2019.02.010 PMID: 30853351 PMC: PMC7082677
pubmed: 30853351
pii: S1413-3555(18)30325-3
doi: 10.1016/j.bjpt.2019.02.010
pmc: PMC7082677
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

124-134

Informations de copyright

Copyright © 2019 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier Editora Ltda. All rights reserved.

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Auteurs

Manuel Torres-Parada (M)

Department of Physiotherapy, Medicine and Biomedical Sciences, Faculty of Physical Therapy, Universidade da Coruña, A Coruña, Spain; Instituto de Investigación Biomédica de A Coruña (INIBIC), Complexo Hospitalario Universitario de A Coruña (CHUAC), SERGAS, Universidade da Coruña, A Coruña, Spain. Electronic address: manueltorresparada@gmail.com.

Jamile Vivas (J)

Department of Physiotherapy, Medicine and Biomedical Sciences, Faculty of Physical Therapy, Universidade da Coruña, A Coruña, Spain.

Vanesa Balboa-Barreiro (V)

Instituto de Investigación Biomédica de A Coruña (INIBIC), Complexo Hospitalario Universitario de A Coruña (CHUAC), SERGAS, Universidade da Coruña, A Coruña, Spain.

José Marey-López (J)

Complexo Hospitalario Universitario de A Coruña (CHUAC), SERGAS, Department of Neurology, A Coruña, Spain.

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Classifications MeSH

questionsmedicales.fr › Thérapeutique › Techniques de physiothérapie › Traitement par les exercices physiques › Post-stroke shoulder pain subtypes classifying...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Post-stroke shoulder pain subtypes classifying...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Examen physique › Post-stroke shoulder pain subtypes classifying...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Démographie › État de santé › Qualité de vie › Post-stroke shoulder pain subtypes classifying...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système nerveux › Sensation › Douleur › Arthralgie › Scapulalgie › Post-stroke shoulder pain subtypes classifying...
questionsmedicales.fr › Maladies cardiovasculaires › Maladies vasculaires › Angiopathies intracrâniennes › Accident vasculaire cérébral › Post-stroke shoulder pain subtypes classifying...