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The effect of paralytic arm pain in the shoulder joint on the effectiveness of rehabilitation after stroke

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Introduction/Background Post-stroke shoulder pain (PSSP) is a common impairment and occurs in approximately one-third of an unselected stroke population. Although PSSP can improve during rehabilitation, studies have shown that it… Click to show full abstract

Introduction/Background Post-stroke shoulder pain (PSSP) is a common impairment and occurs in approximately one-third of an unselected stroke population. Although PSSP can improve during rehabilitation, studies have shown that it can be a long-lasting or persistent problem. Patients with more severe paralysis of the arm are increasingly likely to develop shoulder pain. The aim of study was to investigate effectiveness of rehabilitation after stroke in individuals with and without PSSP. Material and method The study consisted of 58 after stroke patients treated in the neurology department of rehabilitation clinic from 2016 October to 2017 September. The patients were divided into two groups PSSP and non-PSSP. The data were collected using questionnaire, interviews, medical records before and after patient rehabilitation. Functional independence was measured by Functional Independence Measure (FIM) scale. Patients emotional health was evaluated by SF-36 questionnaire which was adapted for this study. Pain in the shoulder of paralytic arm was evaluated by pain scale from 0 to 10 when 0 - no pain and 10 - unbearable pain. Statistical analysis was performed with SPSS, P  Results The analysis of pain influence for rehabilitation after stroke shown, that rehabilitation has statistically significant effect for both groups of patients (P  Conclusion Rehabilitation has statistically significant effect for patients after stroke with and without PSSP.

Keywords: arm; rehabilitation stroke; effect; shoulder; rehabilitation; pain

Journal Title: Annals of Physical and Rehabilitation Medicine
Year Published: 2018

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