Upper limb function and functional independence in patients with shoulder pain after stroke

Renato Nickel; Marcos Lange; Diane Priscila Stoffel; Elaine Janeczko Navarro; Viviane F Zetola

doi:10.1590/0004-282X20160195

Arquivos de Neuro-Psiquiatria, Table of Contents

CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2017; 75(02): 103-106
DOI: 10.1590/0004-282X20160195

ARTICLES

Upper limb function and functional independence in patients with shoulder pain after stroke

Função do membro superior e independência funcional em pacientes com ombro doloroso após AVC

Renato Nickel

¹Universidade Federal do Paraná, Departamento de Terapia Ocupacional, Curitiba PR, Brasil;

,

Marcos Lange

²Universidade Federal do Paraná, Hospital de Clínicas, Divisão de Neurologia, Curitiba PR, Brasil;

,

Diane Priscila Stoffel

¹Universidade Federal do Paraná, Departamento de Terapia Ocupacional, Curitiba PR, Brasil;

,

Elaine Janeczko Navarro

³Hospital do Idoso Zilda Arns, Divisão de Terapia Ocupacional, Curitiba PR, Brasil.

,

Viviane F Zetola

²Universidade Federal do Paraná, Hospital de Clínicas, Divisão de Neurologia, Curitiba PR, Brasil;

› Author Affiliations

Abstract

ABSTRACT

Objective

To examine the frequency of shoulder pain following stroke.

Methods

Stroke patient function was evaluated using the Functional Independence Measure (FIM) and Scale for Upper Limb Function in Stroke (SULFS). Function scores were examined and compared between the shoulder pain group (SPG) and the no shoulder pain group (No-SPG).

Results

A total of 58 patients, 22 women (37.9%), were included in this study. The mean patient age was 49.2±10.8 years and study evaluations were done 3.52±2.26 months after stroke. A total of 16 patients (27.6%) were in the SPG and 42 patients (72.4%) were in the No-SPG. The SPG scored significantly lower on the FIM (SPG: 91.06±14.65 vs. No-SPG 114.62 ± 2.27; p < 0.01) and SULFS (SPG median: 2 [range: 1-4], No-SPG median: 5 [range: 1-5]; p < 0.01) than the No-SPG.

Conclusion

Shoulder pain commonly occurs after stroke and is related to the affected upper limb function and functional independence in stroke patients.

RESUMO

Objetivo

Identificar a frequência de ombro doloroso após acidente vascular cerebral (AVC).

Métodos

Avaliação funcional de pacientes pós-AVC foi realizada pela Medida de Independência Funcional (MIF) e pela Escala de Função de Membro Superior pós-AVC (EFMSA). As pontuações foram comparadas entre pacientes com ombro doloroso (PcOD) e pacientes sem ombro doloroso (PsOD).

Resultados

58 pacientes foram incluídos no estudo, sendo 22 (37,9%) mulheres. A idade média dos pacientes foi 49,2±10,8 anos e a avaliação foi realizada 3,52±2,26 após o AVC. Dezesseis (27,6%) pacientes foram incluídos no grupo PcOD e 42 (72,4%) no grupo PsOD. A MIF foi menor no grupo PcOD (91,06±14,65) quando comparados ao grupo PsOD (114,62 ± 2,27), p < 0.01. A EFMSA também foi menor no grupo PcOD (mediana: 2 [intervalo: 1-4] em comparação ao grupo PsOD (mediana: 5 [intervalo: 1-5], p < 0.01.

Conclusão

Ombro doloroso é comum após AVC e afeta de forma significativa a função do membro superior e a independência funcional.

stroke - shoulder pain - rehabilitation - activities of daily living

acidente vascular cerebral - dor de ombro - reabilitação - atividades cotidianas

Full Text

References

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