Özet:

INTRODUCTION: To assess the effects of shoulder problems on functional capacity, quality of life, mood and rehabilitation outcomes among stroke patients. METHODS: The study was conducted with two patient groups each comprising 20 patients in similar neurophysiologic stages with or without shoulder pain. Prior to treatment, patients were evaluated using Rivermead Motor Assessment (RMA) scale, Functional Independence Measure (FIM) scale, Beck Depression Inventory (BDI) and SF-36 questionnaires. Spasticity levels of patients were determined using Modified Ashworth Scale. The same measures were evaluated again at the end of a 6-week rehabilitation period to determine improvement level in patients with shoulder pain versus those without. RESULTS: Prior to the treatment, Rivermead arm (p=0.006), Rivermead total (p=0.004), FIM mobility (p=0.021), FIM total (p=0.008) and SF-36 pain (p=0.000) scores were lower in the group with shoulder pain. Except for these, all other features of the patients with shoulder pain were comparable to those of the control group. Two groups showed similar SF-36 scores for all domains excluding pain subscale scores. There was no difference between two groups as for BDI scores (p=0.602). While the amount of improvement observed in the majority of assessment parameters did not differ between groups at the end of 6-week rehabilitation period, shoulder pain group showed significantly greater improvement in APECS in-bed mobility scores (p=0.046) and SF-36 pain scores (p=0.004). DISCUSSION AND CONCLUSION: Although hemiplegic shoulder pain has an unfavourable effect on daily life activities and quality of life of the patients, its potential adverse effects on rehabilitation outcomes may be averted with the use of effective therapies.

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