Investigation of Factors Affecting Shoulder Pain in Stroke Survivors

Investigation of Factors Affecting Shoulder Pain in Stroke Survivors

The aim of this study was to examine the factors affecting shoulder pain in stroke survivors and to determine how much the factors affect shoulder pain

The study included 62 stroke patients who got stage 3 or more from the Brunnstrom upper limp stage. We assessed shoulder pain using the Visual Analog Scale, evaluated muscle tone using the Modified Ashworth Scale, identified myofascial trigger points by manual palpation, and measured range of motion using a universal goniometer. We employed the Fugl-Meyer Upper Extremity Assessment to assess the functional status of the upper extremities. We also used the Neer Impingement, Apprehension, Acromioclavicular Shear, and Speed Tests to evaluate the soft tissue condition.

inclusion Criteria:

• having received a diagnosis of hemiplegia following a cerebrovascular accident (CVA)
• having experienced a first-time stroke
• having unilaterally affected, having stage 3 or above Brunnstrom upper limb stage
• not having any other neurological/orthopedic problems in addition to hemiplegia
• not having any shoulder problems on the same side (affected side) before the stroke
• not having any shoulder problems on the same side (affected side) before the stroke

Exclusion Criteria:

• having a history of shoulder injury (affected side)
• neurological and orthopedic diseases other than stroke
• prior stroke
• bilateral involvement
• non-cooperation