1,2 The incidence varies between 9% and 40% depending on patient group and study design. Shoulder pain has been reported to be one of the most common complications after stroke. The increased risk of shoulder pain for patients with impaired arm motor function and/or low general status needs close attention in poststroke care. Shoulder pain restricts patients’ daily life after stroke. Shoulder pain restricted daily life often or constantly when dressing for 51%/31% and when ambulating for 29%/13% of the patients at 4 and 16 months, respectively.Ĭonclusion- Almost one third of the 327 patients developed shoulder pain after stroke onset, a majority with moderate– severe pain. Lost or impaired arm motor function and high National Institutes of Health Stroke Scale score were predictors of shoulder pain. One year later, 8 of these 71 patients had died, 17 had no remaining pain, and 28 additional patients had developed shoulder pain since the first follow up. Among the 61 patients able to score the visual analog scale, 79% had moderate–severe pain. Results- Shoulder pain onset within 4 months after stroke was reported by 71 patients (22%). Shoulder pain intensity (visual analog scale, score 0 to 30=no–mild and 40 to 100=moderate–severe pain) arm motor function restricted dressing and/or ambulating and functional status (Barthel Index) were registered at both follow ups. General status (National Institutes of Health Stroke Scale score) was registered at stroke onset.
After 4 months, 327 patients were followed up and 1 year later, the surviving 305 patients were followed up again. Methods- During a 1-year period, 416 first-ever stroke patients were included in the population-based Lund Stroke Register.
Customer Service and Ordering Informationīackground and Purpose- Shoulder pain is a well-known complication after stroke, but data on prevalence, predictors, and outcome in unselected stroke populations are limited.Stroke: Vascular and Interventional Neurology.Journal of the American Heart Association (JAHA).Circ: Cardiovascular Quality & Outcomes.Arteriosclerosis, Thrombosis, and Vascular Biology (ATVB).
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