The main purpose of this study is to reveal the effects of shoulder pain in chronic hemiplegic patients with a more comprehensive and holistic perspective through evaluation and correlation methods. It is thought that these evaluations can make significant contributions to the understanding of the etiology and treatment of post-stroke shoulder pain. The focus of the study is to deeply examine the effects of shoulder pain on joint position sense, postural control, tactile sense and muscle strength in chronic hemiplegic patients.

This study aims to investigate the effects of shoulder pain on joint position sense, postural control, tactile sensation, and muscle strength in chronic hemiplegic stroke patients. Designed as a cross-sectional descriptive study, it involved participants divided into two groups based on the presence or absence of shoulder pain. The assessments included joint position sense , postural control , tactile sensation , gross grip strength, and pinch grip strength . The findings of this study are expected to contribute to clinical practice by aiding in the development of more effective interventions for managing post-stroke shoulder pain. Additionally, it aims to serve as a foundation for future comprehensive research, emphasizing the critical role of addressing pain in the rehabilitation process.

Inclusion Criteria:

• At least 3 months post-stroke, diagnosis of hemiplegia after stroke, aged 18 or older, having cognitive abilities and cooperation required to fulfill the study requirements, and willingness to participate in the study.

Exclusion Criteria:

• cognitive impairment interfering with informed consent or adherence to study assessments, aphasia, the presence of major neurological or rheumatological diseases affecting the musculoskeletal system other than stroke, and a history of surgery on the affected shoulder prior to stroke.

The study population will consist of individuals diagnosed with stroke and receiving treatment at the Special Safranbolu Special Education and Rehabilitation Center in Karabük province. Based on previous similar studies, the sample size was calculated using power analysis with 80% power and a significance level of α=0.05, resulting in 78 participants.