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Early multidisciplinary prevention program of post-stroke shoulder pain: A randomized clinical trial

dc.rights.licenseopenen_US
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorGLIZE, Bertrand
ORCID: 0000-0001-9618-2088
IDREF: 178853267
dc.contributor.authorCOOK, Amandine
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorBENARD, Antoine
dc.contributor.authorSAGNIER, Sharmila
dc.contributor.authorOLINDO, Stephane
dc.contributor.authorPOLI, Mathilde
dc.contributor.authorDEBRUXELLES, Sabrina
dc.contributor.authorRENOU, Pauline
dc.contributor.authorROUANET, Francois
dc.contributor.authorBADER, Clement
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorDEHAIL, Patrick
hal.structure.identifierInstitut de Neurosciences cognitives et intégratives d'Aquitaine [INCIA]
dc.contributor.authorSIBON, Igor
dc.date.accessioned2022-06-14T14:09:50Z
dc.date.available2022-06-14T14:09:50Z
dc.date.issued2022-05-03
dc.identifier.issn1477-0873 (Electronic) 0269-2155 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/140212
dc.description.abstractEnOBJECTIVE: 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.isoENen_US
dc.subject.enShoulder pain
dc.subject.enStroke
dc.subject.enRehabilitation
dc.title.enEarly multidisciplinary prevention program of post-stroke shoulder pain: A randomized clinical trial
dc.typeArticle de revueen_US
dc.identifier.doi10.1177/02692155221098733en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed35505589en_US
bordeaux.journalClinical Rehabilitationen_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.institutionCNRS
bordeaux.teamACTIVE_BPHen_US
bordeaux.teamAHEAD_BPHen_US
bordeaux.teamPHARES_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03696548
hal.version1
hal.exportfalse
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_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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