Article

OBJECTIVE: To identify baseline risk factors associated with hemiplegic shoulder
pain during the first 6 months after a stroke and to investigate changes in these
risk factors over time. DESIGN: Longitudinal observational study. PATIENTS: A total of 94 patients with first-ever unilateral stroke lesion within 1 month
after stroke. METHODS: Clinical, radiological and sonographic evaluations were
performed at baseline. Hemiplegic shoulder pain was assessed at 1, 3 and 6 months
post-stroke. Associations between baseline factors and hemiplegic shoulder pain
during the first 6 months and hemiplegic shoulder pain at 1, 3 and 6 months
poststroke were analysed. RESULTS: Poor arm motor function, indicated by a poor
National Institutes of Health Stroke Scale item 5 score (odds ratio (OR) = 3.0;
95% confidence interval (CI) = 1.1-7.7) and the presence of supraspinatus tendon
pathology (OR = 4.2; 95% CI = 1.4-12.9), were associated with hemiplegic shoulder
pain. While patients with adhesive capsulitis, glenohumeral subluxation, or long
head of biceps tendon effusion showed a higher prevalence of hemiplegic shoulder
pain at 1 month after stroke, those with supraspinatus tendon pathology showed a
higher prevalence at 3 and 6 months. CONCLUSION:
Patients at high risk of
hemiplegic shoulder pain with severe arm paralysis and supraspinatus tendon
pathology require more careful attention during the rehabilitation period.

Langue : ANGLAIS