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