Clinical Research
HEMİPLEJİK OMUZ AĞRISININ DENGE, ÜST EKSTREMİTE FONKSİYONELLİĞİ, KATILIMCILARIN TANIMLAYICI VERİLERİ VE YAŞAM KALİTESİ ÜZERİNDEKİ ETKİSİ
Abstract
Hemiplejik Omuz Ağrısının Denge, Üst Ekstremite Fonksiyonelliği, Katılımcıların Tanımlayıcı Verileri ve Yaşam Kalitesi Üzerindeki Etkisi
Özet
Amaç: Bizim çalışmamızın amacı hemiplejik omuz ağrısının ile denge, fonksiyonellik ve yaşam kalitesi arasındaki ilişkiyi incelemektir.
Gereç ve Yöntem: Bu çalışma kesitsel bir çalışmadır. Çalışmaya inme sonrası hemiplejik omuz ağrısı bulunan 48 hasta (n=22 kadın n=26 erkek) dahil edildi. Hastalrın omuz ağrısını değerlendirmek için Mcgill- Melzack Ağrı Anketi, denge değerlendirmesi için Berg Denge Ölçeği (BDÖ), üst ekstremite fonksiyonu değerlendirmesi için Upper Extremity Fugl Meyer Assesment (UA-FMA) ve yaşam kalitesini değerlendirmek için Short Form- 36 (SF-36) ölçeği kullanıldı. Anketler her hastaya bir kez uygulandı.
Bulgular: Değerlendirme sonrasında Mcgill-Melzack Ağrı Anketi ve UA-FMA arasında negatif ve anlamlı bir ilişki çıkmıştır (p=0.009). Mcgill-Melzack Ağrı Anketi ve BDÖ arasında anlamlı bir ilişki çıkmamıştır (p=0.290). Ayrıca SF-36 alt skorları ve ağrı arasında anlamlı bir ilişki çıkmamıştır (p>0.05).
Sonuç: Hemiplejik Omuz Ağrısı ve üst ekstremite fonksiyonelliği arasında negatif bir ilişki mevcuttur, ağrı arttıkça fonksiyonellik azalmaktadır.
Keywords
Ethical Statement
Çalışmamız etik kurallara uygundur
Supporting Institution
Bulunmamaktadır
Project Number
Clinical trials numarası NCT04292613
Thanks
Çalışmada Doç. Dr. Esra Pehlivan hocama katkılarından dolayı teşekkür ederim.
References
- Acar, M., & Karatas, G. K. (2010). The effect of arm sling on balance in patients with hemiplegia. Gait & posture, 32(4), 641-644.
- Adey-Wakeling, Z., Liu, E., Crotty, M., Leyden, J., Kleinig, T., Anderson, C. S., & Newbury, J. (2016). Hemiplegic shoulder pain reduces quality of life after acute stroke: a prospective population-based study. American journal of physical medicine & rehabilitation, 95(10), 758-763.
- Ancliffe, J. (1991). Shoulder pain in hemiplegia: incidence and influence on movement and recovery of function. Curtin University of Technology.
- Barlak, A., Unsal, S., Kaya, K., Sahin-Onat, S., & Ozel, S. (2009). Poststroke shoulder pain in Turkish stroke patients: relationship with clinical factors and functional outcomes. International Journal of Rehabilitation Research, 32(4), 309-315.
- Bartels, M. (2004). Pathophysiology and medical management of stroke. Stroke rehabilitation: A function-based approach, 2, 1-30.
- Carr, A. J., Thompson, P. W., & Kirwan, J. R. (1996). Quality of life measures. Br J Rheumatol, 35(3), 275-281. https://doi.org/10.1093/rheumatology/35.3.275
- Chae, J., Mascarenhas, D., David, T. Y., Kirsteins, A., Elovic, E. P., Flanagan, S. R., Harvey, R. L., Zorowitz, R. D., & Fang, Z.-P. (2007). Poststroke shoulder pain: its relationship to motor impairment, activity limitation, and quality of life. Archives of physical medicine and rehabilitation, 88(3), 298-301.
- Chuang, L.-L., Chen, Y.-L., Chen, C.-C., Li, Y.-C., Wong, A. M.-K., Hsu, A.-L., & Chang, Y.-J. (2017). Effect of EMG-triggered neuromuscular electrical stimulation with bilateral arm training on hemiplegic shoulder pain and arm function after stroke: a randomized controlled trial. Journal of neuroengineering and rehabilitation, 14, 1-12.
- Çakçı, A., & MD, A. (2004). İnme rehabilitasyonu. Oğuz H. Editör. Tıbbi Rehabilitasyon, 2, 589-617.
- Demirci, A., Ocek, B., & Koseoglu, F. (2007). Shoulder pain in hemiplegic patients. J PMR Sci, 1, 25-30.
- Eke-Okoro, S. T., Gregoric, M., & Larsson, L.-E. (1997). Alterations in gait resulting from deliberate changes of arm-swing amplitude and phase. Clinical Biomechanics, 12(7-8), 516-521.
- Fugl-Meyer, A. R., Jääskö, L., Leyman, I., Olsson, S., & Steglind, S. (1975). A method for evaluation of physical performance. Scand J Rehabil Med, 7(1), 13-31.
- Gamble, G. E., Barberan, E., Laasch, H.-U., Bowsher, D., Tyrrell, P. J., & Jones, A. K. (2002). Poststroke shoulder pain: a prospective study of the association and risk factors in 152 patients from a consecutive cohort of 205 patients presenting with stroke. European journal of pain, 6(6), 467-474.
- Higgins, J., Mayo, N. E., Desrosiers, J., Salbach, N. M., & Ahmed, S. (2005). Upper-limb function and recovery in the acute phase poststroke. Journal of Rehabilitation Research & Development, 42(1).
- Huang, Y.-C., Chang, K.-H., Liou, T.-H., Cheng, C.-W., Lin, L.-F., & Huang, S.-W. (2017). Effects of Kinesio taping for stroke patients with hemiplegic shoulder pain: A double-blind, randomized, placebo-controlled study. Journal of rehabilitation medicine, 49(3), 208-215.
- Iosa, M., Morone, G., Fusco, A., Pratesi, L., Bragoni, M., Coiro, P., Multari, M., Venturiero, V., De Angelis, D., & Paolucci, S. (2012). Effects of walking endurance reduction on gait stability in patients with stroke. Stroke research and treatment, 2012(1), 810415.
- Joynt, R. L. (1992). The source of shoulder pain in hemiplegia. Archives of physical medicine and rehabilitation, 73(5), 409-413.
- Kizil, R., Şenocak, Ö., El, Ö., Gözüm, M., Kutluk, K., Öztürk, V., & Peker, Ö. (2009). Hemiplejik Hastalarda Omuz Ağrısı Sıklığı ve Ilişkili Faktörler. Journal of Neurological Sciences, 26(2).
- Kong, K.-H., Woon, V.-C., & Yang, S.-Y. (2004). Prevalence of chronic pain and its impact on health-related quality of life in stroke survivors. Archives of physical medicine and rehabilitation, 85(1), 35-40.
- Kuğuluoğlu, S., & Aslan, F. E. (2003). McGill Melzack Ağrı soru formu’nun Türkçe’ye uyarlanması. Ağrı, 15, 47-51.
- Kumar, P. (2019). Hemiplegic shoulder pain in people with stroke: present and the future. Taylor & Francis, 9, 107-110.
- Lee, D. K., Han, S. J., Yoon, S. I., Kim, M. J., & Lee, K. H. (2004). Effect of Arm Sling on Standing Balance of Hemiplegic Patients. Journal of the Korean Academy of Rehabilitation Medicine, 28(6), 532-536.
- Lindgren, I., Jonsson, A.-C., Norrving, B., & Lindgren, A. (2007). Shoulder pain after stroke: a prospective population-based study. Stroke, 38(2), 343-348.
- Melzack, R. (1975). The McGill Pain Questionnaire: major properties and scoring methods. pain, 1(3), 277-299.
- MEScİ, E., & MEScİ, N. (2014). İnmeli hastalarda omuz sorunlarının fonksiyonel durum, yaşam kalitesi ve rehabilitasyon sonuçlarına etkileri. Medeniyet Medical Journal, 29(3), 176-181.
- Miyata, K., Tamura, S., Kobayashi, S., Takeda, R., & Iwamoto, H. (2022). Berg Balance Scale is a valid measure for plan interventions and for assessing changes in postural balance in patients with stroke. Journal of rehabilitation medicine, 54.
- Nakayama, H., Jørgensen, H. S., Raaschou, H. O., & Olsen, T. S. (1994). Recovery of upper extremity function in stroke patients: the Copenhagen Stroke Study. Archives of physical medicine and rehabilitation, 75(4), 394-398.
- Paci, M., Nannetti, L., Taiti, P., Baccini, M., Pasquini, J., & Rinaldi, L. (2007). Shoulder subluxation after stroke: relationships with pain and motor recovery. Physiotherapy Research International, 12(2), 95-104.
- Page, S. J., Fulk, G. D., & Boyne, P. (2012). Clinically important differences for the upper-extremity Fugl-Meyer Scale in people with minimal to moderate impairment due to chronic stroke. Physical therapy, 92(6), 791-798.
- Paolucci, S., Iosa, M., Toni, D., Barbanti, P., Bovi, P., Cavallini, A., Candeloro, E., Mancini, A., Mancuso, M., & Monaco, S. (2016). Prevalence and time course of post-stroke pain: a multicenter prospective hospital-based study. Pain Medicine, 17(5), 924-930.
- Rand, D., & Eng, J. J. (2012). Disparity between functional recovery and daily use of the upper and lower extremities during subacute stroke rehabilitation. Neurorehabilitation and neural repair, 26(1), 76-84.
- Roy, C. W., Sands, M. R., & Hill, L. D. (1994). Shoulder pain in acutely admitted hemiplegics. Clinical rehabilitation, 8(4), 334-340.
- Şahin, F., Büyükavcı, R., Sağ, S., Doğu, B., & Kuran, K. B. (2013). Berg Denge Ölçeği'nin Türkçe versiyonunun inmeli hastalarda geçerlilik ve güvenilirliği. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi.
- Teasell, R., Foley, N., Salter, K., Bhogal, S., Jutai, J., & Speechley, M. (2009). Evidence-based review of stroke rehabilitation: executive summary. Topics in Stroke Rehabilitation, 16(6), 463-488.
- Turner-Stokes, L., & Jackson, D. (2002). Shoulder pain after stroke: a review of the evidence base to inform the development of an integrated care pathway. Clinical rehabilitation, 16(3), 276-298.
- Ünalan, H., Gençosmanoğlu, B., Akgün, K., Karamehmetoğlu, Ş., Tuna, H., Önes, K., Rahimpenah, A., Uzun, E., & Tüzün, F. (2001). Quality of life of primary caregivers of spinal cord injury survivors living in the community: controlled study with short form-36 questionnaire. Spinal cord, 39(6), 318-322.
- Wanklyn, P., Forster, A., & Young, J. (1996). Hemiplegic shoulder pain (HSP): natural history and investigation of associated features. Disability and rehabilitation, 18(10), 497-501.
- WHO, G. (1994). International Classification of Impairments, Disabilities, and Handicaps: A manual of classification relating to the consequences of disease.
- Zorowitz, R. D. (2001). Recovery patterns of shoulder subluxation after stroke: a six-month follow-up study. Topics in Stroke Rehabilitation, 8(2), 1-9.
The Effect of Hemiplegic Shoulder Pain on Balance, Upper Extremity Functionality, Descriptive Data of Participants and Quality of Life
Abstract
The Effect of Hemiplegic Shoulder Pain on Balance, Upper Extremity Functionality, Descriptive Data of Participants and Quality of Life
Abstract
Objective: The aim of our study is to examine the relationship between hemiplegic shoulder pain and balance, functionality, and quality of life.
Materials and Methods: This is a cross-sectional study. Forty-eight patients (n = 22 females, n = 26 males) with post-stroke hemiplegic shoulder pain were included in the study. The Mcgill-Melzack Pain Questionnaire to evaluate the shoulder pain of the patient, the Berg Balance Scale (BBS) for balance assessment, Upper Extremity Fugl Meyer Assesment (UA-FMA) for upper extremity function assessment, and the Short Form-36 (SF-36) to assess the quality of life scale was used. The questionnaires were applied to each patient once.
Results: After the evaluation, a negative and significant relationship was found between the Mcgill-Melzack Pain Questionnaire and UA-FMA scores (p = 0.009). There was no significant relationship between the Mcgill-Melzack Pain Questionnaire and BBS (p = 0.290). In addition, there was no significant relationship between SF-36 sub-scores and pain (p> 0.05).
Conclusion: There is a negative relationship between hemiplegic shoulder pain and upper extremity functionality. As pain increases, functionality decreases.
Keywords
Project Number
Clinical trials numarası NCT04292613
References
- Acar, M., & Karatas, G. K. (2010). The effect of arm sling on balance in patients with hemiplegia. Gait & posture, 32(4), 641-644.
- Adey-Wakeling, Z., Liu, E., Crotty, M., Leyden, J., Kleinig, T., Anderson, C. S., & Newbury, J. (2016). Hemiplegic shoulder pain reduces quality of life after acute stroke: a prospective population-based study. American journal of physical medicine & rehabilitation, 95(10), 758-763.
- Ancliffe, J. (1991). Shoulder pain in hemiplegia: incidence and influence on movement and recovery of function. Curtin University of Technology.
- Barlak, A., Unsal, S., Kaya, K., Sahin-Onat, S., & Ozel, S. (2009). Poststroke shoulder pain in Turkish stroke patients: relationship with clinical factors and functional outcomes. International Journal of Rehabilitation Research, 32(4), 309-315.
- Bartels, M. (2004). Pathophysiology and medical management of stroke. Stroke rehabilitation: A function-based approach, 2, 1-30.
- Carr, A. J., Thompson, P. W., & Kirwan, J. R. (1996). Quality of life measures. Br J Rheumatol, 35(3), 275-281. https://doi.org/10.1093/rheumatology/35.3.275
- Chae, J., Mascarenhas, D., David, T. Y., Kirsteins, A., Elovic, E. P., Flanagan, S. R., Harvey, R. L., Zorowitz, R. D., & Fang, Z.-P. (2007). Poststroke shoulder pain: its relationship to motor impairment, activity limitation, and quality of life. Archives of physical medicine and rehabilitation, 88(3), 298-301.
- Chuang, L.-L., Chen, Y.-L., Chen, C.-C., Li, Y.-C., Wong, A. M.-K., Hsu, A.-L., & Chang, Y.-J. (2017). Effect of EMG-triggered neuromuscular electrical stimulation with bilateral arm training on hemiplegic shoulder pain and arm function after stroke: a randomized controlled trial. Journal of neuroengineering and rehabilitation, 14, 1-12.
- Çakçı, A., & MD, A. (2004). İnme rehabilitasyonu. Oğuz H. Editör. Tıbbi Rehabilitasyon, 2, 589-617.
- Demirci, A., Ocek, B., & Koseoglu, F. (2007). Shoulder pain in hemiplegic patients. J PMR Sci, 1, 25-30.
- Eke-Okoro, S. T., Gregoric, M., & Larsson, L.-E. (1997). Alterations in gait resulting from deliberate changes of arm-swing amplitude and phase. Clinical Biomechanics, 12(7-8), 516-521.
- Fugl-Meyer, A. R., Jääskö, L., Leyman, I., Olsson, S., & Steglind, S. (1975). A method for evaluation of physical performance. Scand J Rehabil Med, 7(1), 13-31.
- Gamble, G. E., Barberan, E., Laasch, H.-U., Bowsher, D., Tyrrell, P. J., & Jones, A. K. (2002). Poststroke shoulder pain: a prospective study of the association and risk factors in 152 patients from a consecutive cohort of 205 patients presenting with stroke. European journal of pain, 6(6), 467-474.
- Higgins, J., Mayo, N. E., Desrosiers, J., Salbach, N. M., & Ahmed, S. (2005). Upper-limb function and recovery in the acute phase poststroke. Journal of Rehabilitation Research & Development, 42(1).
- Huang, Y.-C., Chang, K.-H., Liou, T.-H., Cheng, C.-W., Lin, L.-F., & Huang, S.-W. (2017). Effects of Kinesio taping for stroke patients with hemiplegic shoulder pain: A double-blind, randomized, placebo-controlled study. Journal of rehabilitation medicine, 49(3), 208-215.
- Iosa, M., Morone, G., Fusco, A., Pratesi, L., Bragoni, M., Coiro, P., Multari, M., Venturiero, V., De Angelis, D., & Paolucci, S. (2012). Effects of walking endurance reduction on gait stability in patients with stroke. Stroke research and treatment, 2012(1), 810415.
- Joynt, R. L. (1992). The source of shoulder pain in hemiplegia. Archives of physical medicine and rehabilitation, 73(5), 409-413.
- Kizil, R., Şenocak, Ö., El, Ö., Gözüm, M., Kutluk, K., Öztürk, V., & Peker, Ö. (2009). Hemiplejik Hastalarda Omuz Ağrısı Sıklığı ve Ilişkili Faktörler. Journal of Neurological Sciences, 26(2).
- Kong, K.-H., Woon, V.-C., & Yang, S.-Y. (2004). Prevalence of chronic pain and its impact on health-related quality of life in stroke survivors. Archives of physical medicine and rehabilitation, 85(1), 35-40.
- Kuğuluoğlu, S., & Aslan, F. E. (2003). McGill Melzack Ağrı soru formu’nun Türkçe’ye uyarlanması. Ağrı, 15, 47-51.
- Kumar, P. (2019). Hemiplegic shoulder pain in people with stroke: present and the future. Taylor & Francis, 9, 107-110.
- Lee, D. K., Han, S. J., Yoon, S. I., Kim, M. J., & Lee, K. H. (2004). Effect of Arm Sling on Standing Balance of Hemiplegic Patients. Journal of the Korean Academy of Rehabilitation Medicine, 28(6), 532-536.
- Lindgren, I., Jonsson, A.-C., Norrving, B., & Lindgren, A. (2007). Shoulder pain after stroke: a prospective population-based study. Stroke, 38(2), 343-348.
- Melzack, R. (1975). The McGill Pain Questionnaire: major properties and scoring methods. pain, 1(3), 277-299.
- MEScİ, E., & MEScİ, N. (2014). İnmeli hastalarda omuz sorunlarının fonksiyonel durum, yaşam kalitesi ve rehabilitasyon sonuçlarına etkileri. Medeniyet Medical Journal, 29(3), 176-181.
- Miyata, K., Tamura, S., Kobayashi, S., Takeda, R., & Iwamoto, H. (2022). Berg Balance Scale is a valid measure for plan interventions and for assessing changes in postural balance in patients with stroke. Journal of rehabilitation medicine, 54.
- Nakayama, H., Jørgensen, H. S., Raaschou, H. O., & Olsen, T. S. (1994). Recovery of upper extremity function in stroke patients: the Copenhagen Stroke Study. Archives of physical medicine and rehabilitation, 75(4), 394-398.
- Paci, M., Nannetti, L., Taiti, P., Baccini, M., Pasquini, J., & Rinaldi, L. (2007). Shoulder subluxation after stroke: relationships with pain and motor recovery. Physiotherapy Research International, 12(2), 95-104.
- Page, S. J., Fulk, G. D., & Boyne, P. (2012). Clinically important differences for the upper-extremity Fugl-Meyer Scale in people with minimal to moderate impairment due to chronic stroke. Physical therapy, 92(6), 791-798.
- Paolucci, S., Iosa, M., Toni, D., Barbanti, P., Bovi, P., Cavallini, A., Candeloro, E., Mancini, A., Mancuso, M., & Monaco, S. (2016). Prevalence and time course of post-stroke pain: a multicenter prospective hospital-based study. Pain Medicine, 17(5), 924-930.
- Rand, D., & Eng, J. J. (2012). Disparity between functional recovery and daily use of the upper and lower extremities during subacute stroke rehabilitation. Neurorehabilitation and neural repair, 26(1), 76-84.
- Roy, C. W., Sands, M. R., & Hill, L. D. (1994). Shoulder pain in acutely admitted hemiplegics. Clinical rehabilitation, 8(4), 334-340.
- Şahin, F., Büyükavcı, R., Sağ, S., Doğu, B., & Kuran, K. B. (2013). Berg Denge Ölçeği'nin Türkçe versiyonunun inmeli hastalarda geçerlilik ve güvenilirliği. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi.
- Teasell, R., Foley, N., Salter, K., Bhogal, S., Jutai, J., & Speechley, M. (2009). Evidence-based review of stroke rehabilitation: executive summary. Topics in Stroke Rehabilitation, 16(6), 463-488.
- Turner-Stokes, L., & Jackson, D. (2002). Shoulder pain after stroke: a review of the evidence base to inform the development of an integrated care pathway. Clinical rehabilitation, 16(3), 276-298.
- Ünalan, H., Gençosmanoğlu, B., Akgün, K., Karamehmetoğlu, Ş., Tuna, H., Önes, K., Rahimpenah, A., Uzun, E., & Tüzün, F. (2001). Quality of life of primary caregivers of spinal cord injury survivors living in the community: controlled study with short form-36 questionnaire. Spinal cord, 39(6), 318-322.
- Wanklyn, P., Forster, A., & Young, J. (1996). Hemiplegic shoulder pain (HSP): natural history and investigation of associated features. Disability and rehabilitation, 18(10), 497-501.
- WHO, G. (1994). International Classification of Impairments, Disabilities, and Handicaps: A manual of classification relating to the consequences of disease.
- Zorowitz, R. D. (2001). Recovery patterns of shoulder subluxation after stroke: a six-month follow-up study. Topics in Stroke Rehabilitation, 8(2), 1-9.
There are 39 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Promotion |
| Journal Section | Research Articles |
| Authors | |
| Project Number | Clinical trials numarası NCT04292613 |
| Publication Date | June 30, 2025 |
| Submission Date | January 5, 2025 |
| Acceptance Date | March 3, 2025 |
| Published in Issue | Year 2025 |