The effects of hemiplegic shoulder pain on upper extremity motor function and proprioception

Autor: Mehmet Duray, Emre Baskan
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Adult
Male
030506 rehabilitation
medicine.medical_specialty
Motor dysfunction
Visual Analog Scale
Visual analogue scale
shoulder pain
proprioception
clinical evaluation
correlation analysis
hemiplegia
Physical Therapy
Sports Therapy and Rehabilitation

complication
upper limb
Shoulder flexion
Motor function
Article
range of motion
Upper Extremity
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
Sensorimotor integration
middle aged
Medicine
Humans
controlled study
human
Range of Motion
Articular

Stroke
pathophysiology
Aged
Proprioception
business.industry
Rehabilitation
medicine.disease
major clinical study
female
motor performance
Correlation analysis
disease severity
Neurology (clinical)
0305 other medical science
business
joint characteristics and functions
030217 neurology & neurosurgery
Popis: BACKGROUND: Hemiplegic shoulder pain (HSP) after stroke has negative effects on functional use of hemiplegic arm. OBJECTIVE: This study aimed to investigate the effects of HSP on upper extremity motor function and proprioception. METHODS: Hundred and twenty-two patients with hemiplegia were included in this study. The patients' shoulder pain was evaluated by Visual Analog Scale. According to pain scores, patients were divided into two groups as group with HSP (Group 1, n = 76) and group without HSP (Group 2, n = 46). Upper extremity motor function level and proprioception were assessed by using Fugl Meyer Motor Function Scale and the Laser-pointer Assisted Angle Reproduction Test for the 45°, 60° and 90° of shoulder flexion. RESULTS: Upper extremity motor function and shoulder's proprioceptive sense at each angles of group 1 were found significantly worse than group 2's (p?0.005). Correlation analysis revealed a significant positive correlation between HSP severity, and upper extremity motor dysfunction and proprioceptive impairment (p < 0.005). CONCLUSIONS: Presence of HSP is one of the main determinators of upper extremity motor function level and proprioceptive ability at different angles. Management of HSP can make a significant contribution to sensorimotor integration by leading to recovery in the motor function and proprioceptive acuity. © 2020 - IOS Press and the authors. All rights reserved.
Databáze: OpenAIRE