Smith Mark
Leith Community Treatment Centre, Edinburgh.
Nurs Stand. 2012;26(44):35-44. doi: 10.7748/ns2012.07.26.44.35.c9191.
Shoulder pain is a common problem following stroke. Patients may present with varying degrees of paralysis (hemiplegia), which commonly affects the arm. As a consequence, the stability of the shoulder may be compromised with subsequent risk of damage to soft tissue structures. Patients with more severe paralysis of the arm are increasingly likely to develop shoulder pain. The underlying causes of shoulder pain, and the sources of this pain, have been the subject of debate and research for many years. There is recent evidence to suggest that damage to soft tissues can occur during post-stroke care in hospital. An evidence-based, multidisciplinary approach should be used to prevent damage to the shoulder and enable management of any complications that arise.
肩部疼痛是中风后的常见问题。患者可能会出现不同程度的瘫痪（偏瘫），这通常会影响手臂。因此，肩部的稳定性可能会受到影响，随后软组织结构有受损的风险。手臂瘫痪较严重的患者越来越容易出现肩部疼痛。肩部疼痛的潜在原因以及疼痛来源多年来一直是争论和研究的主题。最近有证据表明，在医院中风后护理期间可能会发生软组织损伤。应采用基于证据的多学科方法来预防肩部损伤，并对出现的任何并发症进行处理。
