Complex regional pain syndrome in stroke patients

Kocabaş, Hilal; Levendoğlu, Funda; Özerbil, Önder Murat; Yürüten, Betigül

doi:10.1097/mrr.0b013e3280146f57

Cited by 53 publications

(63 citation statements)

References 9 publications

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“…The reported incidence of CRPS after stroke is variable, with estimates between 2 and 49% [90,91]. This variation is at least in part due to the lack of consensus on diagnostic criteria in previous studies.…”

Section: Common Post-stroke Pain Subtypesmentioning

confidence: 92%

Post Stroke Pain: Identification, Assessment, and Therapy

2015

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Background: Pain is a common complication after stroke and is associated with the presence of depression, cognitive dysfunction, and impaired quality of life. It remains underdiagnosed and undertreated, despite evidence that effective treatment of pain may improve function and quality of life. Summary: We provide an overview of the means for clinical assessment and risk factors for the development of post-stroke pain, then review the newest available literature regarding the commonest post-stroke pain syndromes, including central post-stroke pain, complex regional pain syndrome, musculoskeletal pain including shoulder subluxation, spasticity-related pain, and post-stroke headache, as well as the available epidemiology and current treatment options. Key Messages: In the best interests of optimizing quality of life and function after stroke, clinicians should be aware of pain as a common complication after stroke, identify those patients at highest risk, directly inquire as to the presence and characteristics of pain, and should be aware of the options for treatment for the various pain syndromes.

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Section: Common Post-stroke Pain Subtypesmentioning

confidence: 92%

Post Stroke Pain: Identification, Assessment, and Therapy

2015

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“…With regards to depression, higher [17,18], comparable [19,20], and lower [21,22] levels of depression have been found in persons with CRPS when compared to other groups. In a similar manner, findings on anxiety and CRPS diverge, with reports of higher [18], comparable [19], and lower [23] anxiety levels in persons with CRPS in comparison to other groups.…”

Section: Introductionmentioning

confidence: 94%

Complex regional pain syndrome, alexithymia, and psychological distress

Margalit

Har

Brill

et al. 2014

Journal of Psychosomatic Research

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“…[75][76][77][78][79] One recent prospective study recruited 82 patients with stroke and reported a positive correlation between subluxation and RSD. 76 Subluxation was assessed by plain radiographs using a five-point scale and a clinical diagnosis of RSD was made. Of the 46 patients with subluxation, 27 had RSD, while of 36 patients without subluxation, only 13 had RSD.…”

Section: Reflex Sympathetic Dystrophymentioning

confidence: 97%

A critical review of shoulder subluxation and its association with other post-stroke complications

Kumar¹,

Swinkels²

2009

Physical Therapy Reviews

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Objectives: Shoulder subluxation affects up to 81% of patients with stroke and has been the subject of clinical research studies for decades. Despite this, its role in upper limb recovery is poorly understood. Subluxation has been linked to other post-stroke complications such as pain, restricted range of motion, poor motor recovery and reflex sympathetic dystrophy. The aim of the present study is to synthesise research findings on the association between subluxation and other post-stroke complications. Methods: A critical review of the relevant literature was undertaken. Results: The association between shoulder subluxation and post-stroke complications is equivocal. The majority of studies were found to have methodological limitations such as heterogeneous patient recruitment criteria, small sample sizes, lack of a standardised definition of subluxation and the use of varied and insensitive clinical measures of assessment. Discussion: Although the association between subluxation and post-stroke complications is uncertain, when present in combination, these complications could have a significant impact on upper limb function. Early rehabilitation programmes which target shoulder muscle function may be the best approach to the prevention of secondary complications and the facilitation of motor recovery in the upper limb. Future longitudinal studies with more homogenous samples are needed. These should consider assessing patients at multiple times and follow them up for at least 1 year. The use of prediction models would allow understanding of a causal association between subluxation and other post-stroke complications. This would inform the effective rehabilitation of upper limb dysfunction in patients with stroke.

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Complex regional pain syndrome in stroke patients

Cited by 53 publications

References 9 publications

Post Stroke Pain: Identification, Assessment, and Therapy

Post Stroke Pain: Identification, Assessment, and Therapy

Complex regional pain syndrome, alexithymia, and psychological distress

A critical review of shoulder subluxation and its association with other post-stroke complications

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