Hemiplegic Shoulder Pain Syndrome: Interrater Reliability of Physical Diagnosis Signs

Dromerick, Alexander W.; Kumar, Ashok; Volshteyn, Oksana; Edwards, Dorothy Farrar

doi:10.1016/j.apmr.2005.10.004

Cited by 21 publications

(22 citation statements)

References 8 publications

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“…The study did not include pain-free range of motion, 25 a measure of spasticity, 32 a valid and reliable measure of poststroke motor impairment, 33 or other specific physical examination assessments for shoulder pain. 34 The addition of these variables may provide greater insight regarding the relationship between structure and clinical manifestations. Third, there was a selection bias in the study sample.…”

Section: Discussionmentioning

confidence: 99%

MRI Findings in the Painful Poststroke Shoulder

Shah

Haghpanah

Elovic

et al. 2008

Stroke

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Background and Purpose-We describe the structural abnormalities in the painful shoulder of stroke survivors and their relationships to clinical characteristics. Method-Eighty-nine chronic stroke survivors with poststroke shoulder pain underwent T1-and T2-weighted multiplanar, multisequence MRI of the painful paretic shoulder. All scans were reviewed by one radiologist for the following abnormalities: rotator cuff, biceps and deltoid tears, tendinopathies and atrophy, subacromial bursa fluid, labral ligamentous complex abnormalities, and acromioclavicular capsular hypertrophy. Clinical variables included subject demographics, stroke characteristics, and the Brief Pain Inventory Questions 12. The relationship between MRI findings and clinical characteristics was assessed through logistic regression. Results-Thirty-five percent of subjects exhibited a tear of at least one rotator cuff, biceps or deltoid muscle. Fifty-three percent of subjects exhibited tendinopathy of at least one rotator cuff, bicep or deltoid muscle. The prevalence of rotator cuff tears increased with age. However, rotator cuff tears and rotator cuff and deltoid tendinopathies were not related to severity of poststroke shoulder pain. In approximately 20% of cases, rotator cuff and deltoid muscles exhibited evidence of atrophy. Atrophy was associated with reduced motor strength and reduced severity of shoulder pain. Conclusions-Rotator cuff tears and rotator cuff and deltoid tendinopathies are highly prevalent in poststroke shoulder pain. However, their relationship to shoulder pain is uncertain. Atrophy is less common but is associated with less severe shoulder pain. (Stroke. 2008;39:1808-1813.)

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Section: Discussionmentioning

confidence: 99%

MRI Findings in the Painful Poststroke Shoulder

Shah

Haghpanah

Elovic

et al. 2008

Stroke

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“…Recruitment of raters was not specified in any of the included studies. In nine included studies, patients were recruited consecutively25 26 29–34 37 and in one study through convenience sampling 42. In three studies patients were referred35 36 38 and in five studies the recruitment protocol was unclear 27 28 39–41.…”

Section: Resultsmentioning

confidence: 99%

“…Therefore prospective studies using consecutive or randomly sampled patients should be considered for being of higher methodological quality 17 59. However, only half of the included studies recruited patients consecutively 25 26 29–34 37…”

Section: Discussionmentioning

confidence: 99%

Reliability of specific physical examination tests for the diagnosis of shoulder pathologies: a systematic review and meta-analysis

et al. 2016

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“…The inclusion criteria were as follows: patients after first stroke, shoulder pain that began after stroke, a positive Neer's test, and hand-behind-neck test [both tests have shown high predictability rates for developing HSP (Dromerick et al, 2006;Rajaratnam et al, 2007)]. …”

Section: Inclusion Criteriamentioning

confidence: 99%

Effect of kinesio tape application on hemiplegic shoulder pain and motor ability: a pilot study

Kalichman

Frenkel‐Toledo

Vered

et al. 2016

International Journal of Rehabilitation Research

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The aim of our single-group pre-post design pilot study was to evaluate the short-term effect of kinesio taping (KT) application on pain and motor ability of hemiplegic shoulder pain (HSP) patients. Eleven poststroke patients with HSP hospitalized in the Department of Neurology C, Loewenstein Rehabilitation Hospital, Raanana, Israel, received a KT application in addition to their usual rehabilitation protocol. KT, consisting of one to three strips according to a predefined algorithm, was applied to the painful shoulder region. A 10 cm Visual Analog Scale of shoulder pain at rest and at arm movement, active and passive pain-free abduction range of motion, Box & Blocks, and Fugl-Meyer upper extremity motor assessment were performed before treatment and 24 h after wearing the KT. After applying the KT, there was no significant change in any variables. Short-term KT application, used in our study, produced no change in shoulder pain, range of motion, or ability of upper limb in HSP patients. Additional studies should evaluate the effect of long-term application and different types of KT applications on HSP.

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Hemiplegic Shoulder Pain Syndrome: Interrater Reliability of Physical Diagnosis Signs

Cited by 21 publications

References 8 publications

MRI Findings in the Painful Poststroke Shoulder

MRI Findings in the Painful Poststroke Shoulder

Reliability of specific physical examination tests for the diagnosis of shoulder pathologies: a systematic review and meta-analysis

Effect of kinesio tape application on hemiplegic shoulder pain and motor ability: a pilot study

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