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This is an observational study to address the following questions.
Patients will be assessed very early after stroke (within 72 hours) and followed up 8-10 weeks later. Findings will enable planning of fully-powered randomised controlled trials of both, pain-prevention strategies and treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single group baseline and follow-up | Single group of adult stroke patients assessed using ShoulderQ shoulder pain questionnaire and Clinical shoulder examination at two time-points: Baseline: within 72 hours post-stroke Follow-up: at 8-10 weeks post-stroke |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ShoulderQ which is a shoulder pain questionnaire | Other | Questions regarding shoulder pain at rest, during movement and at night with visual analogue scales. Factors affecting shoulder pain. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline severity of hemiplegic shoulder pain at 8-10 weeks | Questionnaire including visual analogue scales | within 72 hours and 8-10 weeks |
| Change from baseline Shoulder-Hand-Score at 8-10 weeks | Measurement of pain, oedema, passive range of shoulder abduction and passive range of shoulder external rotation | within 72 hours and 8-10 weeks |
| Change from baseline NIH Stroke Score Upper limb (Motor Arm) at 8-10 weeks | Muscle Strength | within 72 hours and 8-10 weeks |
| Change from baseline presence/absence of pain on palpation at 8-10 weeks | Palpation of shoulder joint line and surrounding soft tissues | within 72 hours and 8-10 weeks |
| Change from baseline presence/absence of inferior glenohumeral subluxation at 8-10 weeks | Palpable gap in sub-acromial region with arm dependent | within 72 hours and 8-10 weeks |
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Inclusion Criteria:
- Clinical diagnosis of haemorrhagic or ischaemic stroke
Exclusion Criteria:
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Adults within 72 hours of stroke
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| Name | Affiliation | Role |
|---|---|---|
| Martine Nadler, PhD | St George's, University of London | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St George's Hospital, Tooting | London | Greater London | SW17 0QT | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20795926 | Background | Blennerhassett JM, Gyngell K, Crean R. Reduced active control and passive range at the shoulder increase risk of shoulder pain during inpatient rehabilitation post-stroke: an observational study. J Physiother. 2010;56(3):195-9. doi: 10.1016/s1836-9553(10)70025-4. | |
| 12413435 | Background | Gamble GE, Barberan E, Laasch HU, Bowsher D, Tyrrell PJ, Jones AK. Poststroke shoulder pain: a prospective study of the association and risk factors in 152 patients from a consecutive cohort of 205 patients presenting with stroke. Eur J Pain. 2002;6(6):467-74. doi: 10.1016/s1090-3801(02)00055-1. |
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| ID | Term |
|---|---|
| D020069 | Shoulder Pain |
| D006429 | Hemiplegia |
| D020521 | Stroke |
| ID | Term |
|---|---|
| D018771 | Arthralgia |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D010146 | Pain |
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| Clinical shoulder examination | Other | Shoulder-Hand-Score (measuring pain, oedema, passive range of movement), muscle strength (using Oxford scale and National Institute of Health Stroke Scale (NIHSS) upper limbe motor and shoulder joint palpation (recording subluxation and soft-tissue pain). |
|
| 17185637 | Background | Lindgren I, Jonsson AC, Norrving B, Lindgren A. Shoulder pain after stroke: a prospective population-based study. Stroke. 2007 Feb;38(2):343-8. doi: 10.1161/01.STR.0000254598.16739.4e. Epub 2006 Dec 21. |
| 12735538 | Background | Ratnasabapathy Y, Broad J, Baskett J, Pledger M, Marshall J, Bonita R. Shoulder pain in people with a stroke: a population-based study. Clin Rehabil. 2003 May;17(3):304-11. doi: 10.1191/0269215503cr612oa. |
| 32026814 | Derived | Nadler M, Pauls M, Cluckie G, Moynihan B, Pereira AC. Shoulder pain after recent stroke (SPARS): hemiplegic shoulder pain incidence within 72hours post-stroke and 8-10 week follow-up (NCT 02574000). Physiotherapy. 2020 Jun;107:142-149. doi: 10.1016/j.physio.2019.08.003. Epub 2019 Aug 9. |
| D009461 |
| Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010243 | Paralysis |
| D009422 | Nervous System Diseases |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |