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KMID : 1211620110060030257
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Journal of the Korean Society of Physical Medicine
2011 Volume.6 No. 3 p.257 ~ p.266
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The Shoulder Pain after Stroke and the relationship with Motor Function, and Quality of Life
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Lee Dong-Jin
An Seung-Heon
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Abstract
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Purpose: To assess the relationship between post-stroke shoulder pain, motor function, and pain-related quality of life(QOL)
Methods: Volunteer sample of 62 chronic stroke survivors with post-stroke shoulder pain and glenohumeral subluxation. The patients answered the question in shoulder pain with the Brief Pain Inventory question 12 (BP1-12), Pain-related Quality of life(BPI-23). Therapists measured the performance of combined upper-limb movement including the hand-behind-neck(HBN), hand-behind-beck(HBB) maneuver, added passive pain-free shoulder external rotation range of motion, and Modified Ashworth Scale(MAS) score of the elbow flexors. Physical performance assessments were used to measure basic activity daily living(Modified Barthel Index-self care, MBI-S/C), motor function of upper limb(Fugl-Meyer Upper/Lower Extremity, FM-U/E).
Results: Stepwise regression analyses indicated that post-stroke shoulder pain is associated with the BPI 23, but not with the FM-U/E, MBI-S/C. Thus, the presence of shoulder pain is more important predicting pain-related QOL than its degree in predicting motor function of upper limb and basic activity daily living.
Conclusion: Post-stroke shoulder pain was associated with reduced quality of life related to pain. The pain was not associated with the motor function of upper limb and basic activity daily living. The result imply that management of shoulder pain & anatomical position of shoulder joint after stroke should be emphasized. This provides a further incentive to develop effective rehabilitation prevention and treatment strategies for post-stroke shoulder pain.
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KEYWORD
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Shoulder pain, Stroke, Upper limb function, Quality of life
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