Original Research Article
Year: 2023 | Month: January | Volume: 13 | Issue: 1 | Pages: 206-216
DOI: https://doi.org/10.52403/ijhsr.20230129
A Study to Measure Prevalence of Post Stroke Shoulder Pain and Its Association with Sensorimotor Functions and ADL Impairment in Chronic Stroke Patients: A Cross Sectional Observational Study
Dr. Rajan Hargovanbhai Desai1, Dr. Neha Verma2
1PG Student, 2Assistant Professor,
SPB Physiotherapy College, Veer Narmad South Gujarat University, Surat, India
Corresponding Author: Dr. Neha Verma
ABSTRACT
BACKGROUND: Stroke is a major Non-Communicable Disease which is responsible for 3.5% of Disability Adjusted Life Year (DALY) in India. Post-stroke shoulder pain is a most common impairment affecting patient’s participation in rehabilitation by sensory motor impairment and limitation of daily living activity in chronic stroke patient.
OBJECTIVE: Numerous theories exist to explain the patho-mechanics behind development of Post-stroke shoulder pain, but its relationship with the sensory-motor function of the affected limb is needed to more elaborate. So it is important to study the prevalence of Post-stroke shoulder pain (PSSP) and its association with different factors with post stroke shoulder pain (PSSP).
METHDOLOGY: Visual Analogue Scale was used to measure shoulder pain and Passive Range of Motion of shoulder joint was assessed by using a goniometer. Motor functions was assessed by using the upper limb subscale of the Motor Assessment Scale (UL-MAS), Somatosensory impairment of the upper extremity was assessed by Erasmus MC modifications to the(revised) Nottingham Sensory Assessment scale (EmNSA) and Activity of Daily Living impairment was assessed by Modified Barthel Index (MBI). Scores were examined and compared between the shoulder pain group (SPG) and the No Shoulder Pain Group (No-SPG).
CONCLUSION: Results from this study shows post stroke shoulder pain is associated with reduced upper extremity sensory motor functions, ADL and passive range of motion of shoulder joint. This emphasizes that prevention of shoulder pain will help in regaining upper extremity sensory motor functions, reduced range of motion of shoulder joint and ADL.
Key words: [Post-stroke shoulder pain, activity of daily living, Somatosensory impairment, upper arm motor function.]