Nickel Renato, Lange Marcos, Stoffel Diane Priscila, Navarro Elaine Janeczko, Zetola Viviane F
Universidade Federal do Paraná, Departamento de Terapia Ocupacional, Curitiba PR, Brasil.
Universidade Federal do Paraná, Hospital de Clínicas, Divisão de Neurologia, Curitiba PR, Brasil.
Arq Neuropsiquiatr. 2017 Feb;75(2):103-106. doi: 10.1590/0004-282X20160195.
To examine the frequency of shoulder pain following stroke.
Stroke patient function was evaluated using the Functional Independence Measure (FIM) and Scale for Upper Limb Function in Stroke (SULFS). Function scores were examined and compared between the shoulder pain group (SPG) and the no shoulder pain group (No-SPG).
A total of 58 patients, 22 women (37.9%), were included in this study. The mean patient age was 49.2±10.8 years and study evaluations were done 3.52±2.26 months after stroke. A total of 16 patients (27.6%) were in the SPG and 42 patients (72.4%) were in the No-SPG. The SPG scored significantly lower on the FIM (SPG: 91.06±14.65 vs. No-SPG 114.62 ± 2.27; p < 0.01) and SULFS (SPG median: 2 [range: 1-4], No-SPG median: 5 [range: 1-5]; p < 0.01) than the No-SPG.
Shoulder pain commonly occurs after stroke and is related to the affected upper limb function and functional independence in stroke patients.
研究中风后肩部疼痛的发生率。
采用功能独立性测量量表（FIM）和中风上肢功能量表（SULFS）评估中风患者的功能。对肩部疼痛组（SPG）和无肩部疼痛组（No-SPG）的功能评分进行检查和比较。
本研究共纳入58例患者，其中女性22例（37.9%）。患者平均年龄为49.2±10.8岁，研究评估在中风后3.52±2.26个月进行。SPG组有16例患者（27.6%），No-SPG组有42例患者（72.4%）。SPG组在FIM量表（SPG：91.06±14.65 vs. No-SPG 114.62 ± 2.27；p < 0.01）和SULFS量表（SPG中位数：2[范围：1 - 4]，No-SPG中位数：5[范围：1 - 5]；p < 0.01）上的得分显著低于No-SPG组。
中风后肩部疼痛常见，且与中风患者受影响的上肢功能及功能独立性相关。
