[Kinesiotherapy prevents shoulder pain in hemiplegic/paretic patients on sub-acute stage post-stroke].

Abstract:

BACKGROUND:Painful shoulder is considered the most common complication of hemiplegic/parethic (H/P) stroke patients. It is a negative factor for neuromotor recovery. PURPOSE:To study the effects of kinesiotherapy treatment on shoulder pain prevention, and as a secondary endpoints, to analyze muscle strength of H/P shoulder looking at basic functional active mobility. METHOD:Twenty one inpatients (12 men, 9 women) aged 26 to 87 years, with post-stroke H/P were submitted to thirty minutes daily program kinesiotherapy, started at 48 hours post-stroke up to their hospital discharge. Patients were evaluated pre and post treatment according to the presence or absence of shoulder pain, movements and shoulder strength, and for presence or absence of basic functional movements. RESULTS:No patient complaining of shoulder pain at the hospital discharge (p<0.001). The muscle strength improved signifcantly for elevation, protusion, abduction and flexion of the shoulder (p<0.001). There was improvement also for functional mobility on moving from dorsal to lateral recumb, from lateral recumb to a seated position and in keeping the seated position (p<0.001). CONCLUSION:Kinesiotherapy in acute phase of stroke prevented shoulder pain.

journal_name

Arq Neuropsiquiatr

authors

Horn AI,Fontes SV,de Carvalho SM,Silvado RA,Barbosa PM,Durigan A Jr,Atallah AN,Fukujima MM,do Prado GF

doi

10.1590/s0004-282x2003000500012

subject

Has Abstract

pub_date

2003-09-01 00:00:00

pages

768-71

issue

3B

eissn

0004-282X

issn

1678-4227

pii

S0004-282X2003000500012

journal_volume

61

pub_type

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