Early multidisciplinary prevention program of post-stroke shoulder pain: A randomized clinical trial
dc.rights.license | open | en_US |
hal.structure.identifier | Bordeaux population health [BPH] | |
dc.contributor.author | GLIZE, Bertrand | |
dc.contributor.author | COOK, Amandine | |
hal.structure.identifier | Bordeaux population health [BPH] | |
dc.contributor.author | BENARD, Antoine | |
dc.contributor.author | SAGNIER, Sharmila | |
dc.contributor.author | OLINDO, Stephane | |
dc.contributor.author | POLI, Mathilde | |
dc.contributor.author | DEBRUXELLES, Sabrina | |
dc.contributor.author | RENOU, Pauline | |
dc.contributor.author | ROUANET, Francois | |
dc.contributor.author | BADER, Clement | |
hal.structure.identifier | Bordeaux population health [BPH] | |
dc.contributor.author | DEHAIL, Patrick | |
hal.structure.identifier | Institut de Neurosciences cognitives et intégratives d'Aquitaine [INCIA] | |
dc.contributor.author | SIBON, Igor | |
dc.date.accessioned | 2022-06-14T14:09:50Z | |
dc.date.available | 2022-06-14T14:09:50Z | |
dc.date.issued | 2022-05-03 | |
dc.identifier.issn | 1477-0873 (Electronic) 0269-2155 (Linking) | en_US |
dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/140212 | |
dc.description.abstractEn | OBJECTIVE: To evaluate if positioning the upper-limb promoting abduction, external rotation and flexion of the shoulder reduces the intensity of post-stroke shoulder pain at day-7 compared to usual clinical practice. DESIGN & SETTING: Prospective single-center randomized clinical trial using a superiority design comparing two preventive strategies of post-stroke shoulder pain in a stroke unit. SUBJECTS: Patients were included within 2 days from a first symptomatic ischemic stroke affecting shoulder motor function. INTERVENTIONS: Intervention group included specific positioning of the shoulder in abduction, external rotation and flexion in bed, chair and during mobilization. Control group referred to usual practice i.e. positioning using a standard support scarf. MAIN MEASURES: Primary outcome was the intensity of shoulder pain assessed by the visual analog scale (VAS) (0-100) at day-7 post-stroke. Other outcomes measured at day-7 and 2 months post-stroke were the VAS, motor function, spasticity, depression, functional independence and rates of complex regional Pain syndrome (CRPS). RESULTS: 76 patients (49 males; mean age = 68.3) were randomized. The shoulder pain at day-7 was not different between the control group (16.1, SD = 27.4) and the intervention group (10.3, SD = 21.5, p = 0.18) as well as at 2 months (p = 0.12). A lower rate of depression was observed in the intervention group at 2 months 36.7% (CI95% 19.9;56.1) vs 52.9% (CI95% 35.1;70.2). No between-group difference in other outcomes was observed at 2 months. CONCLUSIONS: This study failed to demonstrate the benefit of a specific positioning tool in reducing the intensity of post-stroke shoulder pain which was lower than previously reported in the literature. | |
dc.language.iso | EN | en_US |
dc.subject.en | Shoulder pain | |
dc.subject.en | Stroke | |
dc.subject.en | Rehabilitation | |
dc.title.en | Early multidisciplinary prevention program of post-stroke shoulder pain: A randomized clinical trial | |
dc.type | Article de revue | en_US |
dc.identifier.doi | 10.1177/02692155221098733 | en_US |
dc.subject.hal | Sciences du Vivant [q-bio]/Santé publique et épidémiologie | en_US |
dc.identifier.pubmed | 35505589 | en_US |
bordeaux.journal | Clinical Rehabilitation | en_US |
bordeaux.hal.laboratories | Bordeaux Population Health Research Center (BPH) - UMR 1219 | en_US |
bordeaux.institution | Université de Bordeaux | en_US |
bordeaux.institution | INSERM | en_US |
bordeaux.institution | CNRS | |
bordeaux.team | ACTIVE_BPH | en_US |
bordeaux.team | AHEAD_BPH | en_US |
bordeaux.team | PHARES_BPH | en_US |
bordeaux.peerReviewed | oui | en_US |
bordeaux.inpress | non | en_US |
hal.identifier | hal-03696548 | |
hal.version | 1 | |
hal.export | false | |
dc.rights.cc | Pas de Licence CC | en_US |
bordeaux.COinS | ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Clinical%20Rehabilitation&rft.date=2022-05-03&rft.eissn=1477-0873%20(Electronic)%200269-2155%20(Linking)&rft.issn=1477-0873%20(Electronic)%200269-2155%20(Linking)&rft.au=GLIZE,%20Bertrand&COOK,%20Amandine&BENARD,%20Antoine&SAGNIER,%20Sharmila&OLINDO,%20Stephane&rft.genre=article |
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