Epidemiology of hemrplegic shoulder pain after stroke

  • Malambo Passmore

Abstract

lntroductiion

Hemiplegic shoulder pain has been reported to delay upper limb functional recovery after stroke. Aim

A  review of articles was  conducted to determine the incidence,  risk factors  and causes of hemiplegic  shoulder  pain after stroke.

Methodology

The search of articles was identified using MEDLINE, SCIRUS, CINAHL, SCIENCE  DIRECT and manuai search. A total of 23 references were used in this study.

Results

The study reviewed that 80% of stroke patients complained of hemiplegic shoulder pain. The associated risk factors to hemiplegic shoulder pain were; neglect/ loss of sensibility, repeated trauma, depress ion, spasticity and limited range of motion in external rotation of the affected shoulder . However, subluxation was not associated to hemiplegic shoulder pain in this study. The causes were adhesive capulitis, injury to rotator cuff muscles and subacromial bursitis.

Conclusion

Early identification of risk factors and causes of hemiplegic shoulder pain would help to plan for treatment and reduce the high incidence shoulder pain.

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