Hemiplegic shoulder pain: Defining the problem and its management

Bender, Louise and McKenna, Kryss (2001) Hemiplegic shoulder pain: Defining the problem and its management. Disability and Rehabilitation, 23 16: 698-705. doi:10.1080/09638280110062149


Author Bender, Louise
McKenna, Kryss
Title Hemiplegic shoulder pain: Defining the problem and its management
Journal name Disability and Rehabilitation   Check publisher's open access policy
ISSN 0963-8288
1464-5165
Publication date 2001
Sub-type Article (original research)
DOI 10.1080/09638280110062149
Volume 23
Issue 16
Start page 698
End page 705
Total pages 8
Place of publication London, U.K.
Publisher Informa Healthcare
Language eng
Formatted abstract
Purpose: Hemiplegic shoulder pain can affect up to 70% of stroke patients and can have an adverse impact on rehabilitation outcomes. This article aims to review the literature on the suggested causes of hemiplegic shoulder pain and the therapeutic techniques that can be used to prevent or treat it. On the basis of this review, the components of an optimal management programme for hemiplegic shoulder pain are explored.

Method: English language articles in the CINAHL and MEDLINE databases between 1990 and 2000 were reviewed. These were supplemented by citation tracking and manual searches.

Results: A management programme for hemiplegic shoulder pain could comprise the following components: provision of an external support for the affected upper limb when the patient is seated, careful positioning in bed, daily static positional stretches, motor retraining and strapping of the scapula to maintain postural tone and symmetry.

Conclusions: Research is required to evaluate the effectiveness of the components of the proposed management programme for the prevention and treatment of hemiplegic shoulder pain and to determine in what combination they achieve the best outcomes.
©  2001 Taylor & Francis Ltd
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ
Additional Notes Published under 'Review'.

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Health and Rehabilitation Sciences Publications
 
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Created: Wed, 16 Feb 2011, 11:16:18 EST by Dr Louise Gustafsson on behalf of School of Health & Rehabilitation Sciences