Duray Mehmet, Baskan Emre
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Süleyman Demirel University, Isparta, Turkey.
School of Physical Therapy and Rehabilitation, Pamukkale University, Denizli, Turkey.
NeuroRehabilitation. 2020;46(4):561-567. doi: 10.3233/NRE-203049.
Hemiplegic shoulder pain (HSP) after stroke has negative effects on functional use of hemiplegic arm.
This study aimed to investigate the effects of HSP on upper extremity motor function and proprioception.
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.
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).
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.
中风后偏瘫肩痛（HSP）对偏瘫上肢的功能使用有负面影响。
本研究旨在探讨HSP对上肢运动功能和本体感觉的影响。
本研究纳入了122例偏瘫患者。采用视觉模拟量表评估患者的肩部疼痛。根据疼痛评分，将患者分为两组，即HSP组（第1组，n = 76）和无HSP组（第2组，n = 46）。采用Fugl Meyer运动功能量表以及通过激光指针辅助角度再现测试评估肩部屈曲45°、60°和90°时的上肢运动功能水平和本体感觉。
发现第1组各角度的上肢运动功能和肩部本体感觉明显比第2组差（p≤0.005）。相关性分析显示，HSP严重程度与上肢运动功能障碍和本体感觉损害之间存在显著正相关（p < 0.005）。
HSP的存在是不同角度上肢运动功能水平和本体感觉能力的主要决定因素之一。HSP的管理可通过促进运动功能和本体感觉敏锐度的恢复，对感觉运动整合做出重大贡献。
