A randomized controlled trial of a modified wheelchair arm-support to reduce shoulder pain in stroke patients.

Abstract:

OBJECTIVE:To evaluate the effect of modified wheelchair arm-support to mitigate hemiplegic shoulder pain and reduce pain frequency in stroke patients. DESIGN:A single-blind randomized controlled trial using computer-generated simple randomization. SETTING:Participants recruited from inpatients at the Guangdong Provincial Hospital of Chinese Medicine. SUBJECTS:A total of 120 patients with stroke were divided into two groups. INTERVENTIONS:All subjects underwent basic rehabilitation training and wheelchair assistance with eight weeks follow-up period. Patients in the treatment group additionally received modified wheelchair arm-support for at least 60 minutes a day, six days a week, for four weeks. OUTCOME MEASURES:Primary outcome was measured by the Visual Analogue Pain Scale or Numeric Pain Rating Scale. Secondary outcome was measured using the Upper Extremity Fugl-Meyer Assessment scale, Modified Barthel Index and Quality of Life Index. Measurements were made at 4 weeks and 12 weeks, following the intervention. RESULTS:Patients age from 21 to 83 years (mean ± SD = 62.41 ± 12.26). The average duration of disease was 1.9 ± 1.3 months. At four weeks, the median of pain intensity was higher in the control group (median, interquartile range = 3, 5.75 vs. 2, 3.75; P = 0.059). At 12 weeks, the median of pain intensity was higher in the control group (median, interquartile range = 3, 5.00 vs. 0, 1.00; P < 0.001). At 12 weeks, patients with shoulder pain were higher in the control group (6 vs. 1; P < 0.05). CONCLUSION:Using the modified wheelchair arm-support could lead to the mitigation of hemiplegic shoulder pain and reduction in pain incidence in stroke patients. It may also improve the patients' quality of life.

journal_name

Clin Rehabil

journal_title

Clinical rehabilitation

authors

Pan R,Zhou M,Cai H,Guo Y,Zhan L,Li M,Yang Z,Zhu L,Zhan J,Chen H

doi

10.1177/0269215517714830

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

37-47

issue

1

eissn

0269-2155

issn

1477-0873

journal_volume

32

pub_type

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