Poststroke Shoulder Pain: Its Relationship to Motor Impairment, Activity Limitation, and Quality of Life

• Published in: Archives of physical medicine and rehabilitation Vol. 88; no. 3; pp. 298 - 301
• Main Authors: Chae, John, MD, ME, Mascarenhas, Don, MD, Yu, David T., MD, Kirsteins, Andrew, MD, Elovic, Elie P., MD, Flanagan, Steven R., MD, Harvey, Richard L., MD, Zorowitz, Richard D., MD, Fang, Zi-Ping, PhD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-03-2007; Elsevier
• Subjects: Biological and medical sciences; Cross-Sectional Studies; Disability Evaluation; Diseases of the osteoarticular system; Female; Hemiplegia - physiopathology; Humans; Male; Medical sciences; Middle Aged; Miscellaneous; Miscellaneous. Osteoarticular involvement in other diseases; Movement - physiology; Neurology; Pain; Pain Measurement; Physical Medicine and Rehabilitation; Quality of Life; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Range of Motion, Articular - physiology; Regression Analysis; Rehabilitation; Shoulder; Shoulder Pain - physiopathology; Stroke; Stroke - physiopathology; Vascular diseases and vascular malformations of the nervous system; Stroke; Pain; Rehabilitation; Shoulder; Quality of life; Luxation; Prognosis; Self evaluation; Volunteer; Diseases of the osteoarticular system; Cardiovascular disease; Painful shoulder; Vascular disease; Reeducation; Glenohumeral joint; Limitation; Clinical trial; Upper limb; Ambulatory; Cerebrovascular disease; Human; Nervous system diseases; Data analysis; Instruments; Survivor; Cerebral disorder; Walking; Chronic; Mood; Sleep; Central nervous system disease; Arm
• ISSN: 0003-9993; 1532-821X
• DOI: 10.1016/j.apmr.2006.12.007

Abstract Chae J, Mascarenhas D, Yu DT, Kirsteins A, Elovic EP, Flanagan SR, Harvey RL, Zorowitz RD, Fang Z-P. Poststroke shoulder pain: its relationship to motor impairment, activity limitation, and quality of life. Objective To assess the relationship between poststroke shoulder pain, upper-limb motor impairment, activity limitation, and pain-related quality of life (QOL). Design Cross-sectional, secondary analysis of baseline data from a multisite clinical trial. Setting Outpatient rehabilitation clinics of 7 academic medical centers. Participants Volunteer sample of 61 chronic stroke survivors with poststroke shoulder pain and glenohumeral subluxation. Interventions Not applicable. Main Outcome Measures We measured poststroke shoulder pain with the Brief Pain Inventory question 12 (BPI 12), a self-reported 11-point numeric rating scale (NRS) that assesses “worst pain” in the last 7 days. Motor impairment was measured with the Fugl-Meyer Assessment (FMA). Activity limitation was measured with the Arm Motor Ability Test (AMAT) and the FIM instrument. Pain-related QOL was measured with BPI question 23, a self-reported 11-point NRS that assesses pain interference with general activity, mood, walking ability, normal work, interpersonal relationships, sleep, and enjoyment of life. Results Stepwise regression analyses indicated that poststroke shoulder pain is associated with the BPI 23, but not with the FMA, FIM, or AMAT scores. Conclusions Poststroke shoulder pain is associated with reduced QOL, but not with motor impairment or activity limitation.