scholarly journals Stroke - shoulder pain and upper limb function 

2022 ◽  
Vol 7 (1) ◽  
pp. 1-4
Author(s):  
Carvalho Sá P ◽  
Ferro I ◽  
Pires C ◽  
Pascoal A ◽  
Lourenço A ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Shoulder Pain ◽  
Motor Function ◽  
Upper Limb ◽  
Small Sample ◽  
Local Injection ◽  
Limb Function ◽  
Mean Values ◽  
Upper Limb Function ◽  
Significant Difference

Introduction: Stroke causes disability and pain, especially shoulder pain. Often, shoulder pain, has a not completely known mechanism and evolution.1,2 Objectives: Assess shoulder pain and its impact in upper limb function, in patients who had suffered a stroke within 6 months. Methods: Observational study. Included patients at discharge from an inpatient rehabilitation centre, from November 2019 until February 2020. Assessment was done using validated Portuguese versions of the Brief Pain Inventory (BPI) and Fugl Meyer Assessment Scale (FMAS). Results: Of 32 patients screened, 26 fulfilled the inclusion criteria, 7 were females (26,9 %), with mean age of 60,7±10 years. Mean values of BPI Severity and Interference were 3,2±1,6 and 2,4±1,8, respectively. The mean values of the FMAS Motor Function and Passive Articular Movement were 38,8±23,2 and 20,3±2,3, respectively. Analysing the association between both subscales of BPI and both Subscales of FMAS negative correlations were found to be statistically significant with a confidence interval of 95% but there was no correlation between BPI Severity and FMAS motor function. Six patients (23%) received a local injection for shoulder pain. Analysing both groups, BPI Severity and both subscales of FMAS showed a statistically significant difference (p values of 0,0083, 0,0031 and 0,0056, respectively) for a Wilcoxon/Kruskal-Wallis test with a confidence interval of 95%. Discussion/Conclusions: Patients with voluntary upper limb movements after a stroke tend to have less shoulder pain. Local injection was an effective intervention for shoulder pain. The greatest limitation of this study is the small sample size.

scholarly journals Shoulder pain in adolescent athletes: prevalence, associated factors and its influence on upper limb function

2017 ◽  
Vol 21 (2) ◽  
pp. 107-113 ◽  
Author(s):  
Valéria M.A. de Oliveira ◽  
Ana C.R. Pitangui ◽  
Mayra R.A. Gomes ◽  
Hítalo A. da Silva ◽  
Muana H.P. dos Passos ◽  
...  
Keyword(s):  
Shoulder Pain ◽  
Upper Limb ◽  
Associated Factors ◽  
Adolescent Athletes ◽  
Limb Function ◽  
Upper Limb Function

scholarly journals Effect of Immersive Virtual Reality-Based Bilateral Arm Training in Patients with Chronic Stroke

2021 ◽  
Vol 11 (8) ◽  
pp. 1032
Author(s):  
Yo-Han Song ◽  
Hyun-Min Lee
Keyword(s):  
Virtual Reality ◽  
Upper Limb ◽  
Chronic Stroke ◽  
Limb Function ◽  
Upper Limb Rehabilitation ◽  
Upper Limb Function ◽  
Artificial Environment ◽  
Beta Power ◽  
Significant Difference ◽  
Bilateral Arm Training

Virtual reality (VR)-based therapies are widely used in stroke rehabilitation. Although various studies have used VR techniques for bilateral upper limb training, most have been only semi-immersive and have only been performed in an artificial environment. This study developed VR content and protocols based on activities of daily living to provide immersive VR-based bilateral arm training (VRBAT) for upper limb rehabilitation in stroke patients. Twelve patients with chronic stroke were randomized to a VRBAT group or a normal bilateral arm training (NBAT) group and attended 30-min training sessions five times a week for four weeks. At the end of the training, there was a significant difference in upper limb function in both groups (p < 0.05) and in the upper limb function sensory test for proprioception in the NBAT group (p < 0.05). There was no significant between-group difference in upper limb muscle activity after training. The relative alpha and beta power values for electroencephalographic measurements were significantly improved in both groups. These findings indicate that both VRBAT and NBAT are effective interventions for improving upper limb function and electroencephalographic activity in patients with chronic stroke.

scholarly journals Application of the Fugl-Meyer Assessment (FMA) and the Wolf Motor Function Test (WMFT) in the recovery of upper limb function in patients after chronic stroke: a literature review

2013 ◽  
Vol 20 (1) ◽  
pp. 42-49 ◽  
Author(s):  
Cauê Padovani ◽  
Cristhiane Valério Garabello Pires ◽  
Fernanda Pretti Chalet Ferreira ◽  
Gabriela Borin ◽  
Thais Raquel Martins Filippo ◽  
...  
Keyword(s):  
Literature Review ◽  
Motor Function ◽  
Upper Limb ◽  
Chronic Stroke ◽  
Limb Function ◽  
Upper Limb Function ◽  
Function Test ◽  
Wolf Motor Function Test

scholarly journals A pilot study on the test re-test and the inter-rater reliability of the Melbourne Assessment of Unilateral Upper Limb Function

2009 ◽  
Vol 65 (2) ◽  
Author(s):  
P. Jayaraman ◽  
T. Puckree
Keyword(s):  
Cerebral Palsy ◽  
South African ◽  
Upper Limb ◽  
Small Sample Size ◽  
Weighted Kappa ◽  
Black Children ◽  
Small Sample ◽  
Limb Function ◽  
Upper Limb Function ◽  
African Black

Objective: The Melbourne Assessment of Unilateral Upper Limb Function(commonly referred to as the Melbourne A ssessment) was identified as atool to quantify the quality of upper extremity function in children with cerebral palsy aged 5 to 15 years in South Africa. Since the tool was nottested in a South African population before, it became necessary to determine its inter-rater and test-retest reliability.Methods: Five South African Black children with hemiplegic cerebral palsy served as the test sample. The raters were 2 neurodevelopmental trained physiotherapists with more than 2 and 8 years of experience in pediatric physiotherapy but novice to the use of the Melbourne Assessment. Both therapists acquainted themselves with the tool kit and manual prior to the rating. The entire assessment of each child was video taped and reassessed a week later by one of the therapists for test-retestreliability. Results: Ratings of the 2 raters and test-retest scores were correlated using the weighted Kappa due to the small sample size. Kappa scores for individual scores for interrater reliability and test-retest was 0, 75 and that for the totalscores were 0, 72 and 0, 82 respectively. Conclusion: These findings suggest that good inter-tester and test-retest reliability can be achieved for the MelbourneA ssessment when used in a group of South African Black children.

scholarly journals Upper limb function and functional independence in patients with shoulder pain after stroke

2017 ◽  
Vol 75 (2) ◽  
pp. 103-106 ◽  
Author(s):  
Renato Nickel ◽  
Marcos Lange ◽  
Diane Priscila Stoffel ◽  
Elaine Janeczko Navarro ◽  
Viviane F Zetola
Keyword(s):  
Shoulder Pain ◽  
Upper Limb ◽  
Stroke Patient ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Stroke Patients ◽  
Pain Group ◽  
Limb Function ◽  
Upper Limb Function ◽  
The Mean

ABSTRACT Objective To examine the frequency of shoulder pain following stroke. Methods Stroke patient function was evaluated using the Functional Independence Measure (FIM) and Scale for Upper Limb Function in Stroke (SULFS). Function scores were examined and compared between the shoulder pain group (SPG) and the no shoulder pain group (No-SPG). Results A total of 58 patients, 22 women (37.9%), were included in this study. The mean patient age was 49.2±10.8 years and study evaluations were done 3.52±2.26 months after stroke. A total of 16 patients (27.6%) were in the SPG and 42 patients (72.4%) were in the No-SPG. The SPG scored significantly lower on the FIM (SPG: 91.06±14.65 vs. No-SPG 114.62 ± 2.27; p < 0.01) and SULFS (SPG median: 2 [range: 1-4], No-SPG median: 5 [range: 1-5]; p < 0.01) than the No-SPG. Conclusion Shoulder pain commonly occurs after stroke and is related to the affected upper limb function and functional independence in stroke patients.

scholarly journals Upper limb therapy in children with cerebral palsy (CP) – The Pirate Group

2017 ◽  
Vol 31 (4) ◽  
pp. 57-67
Author(s):  
Marta Pawlak ◽  
Beata Wnuk ◽  
Daniela Kowalicka ◽  
Aleksandra Rosłoniec
Keyword(s):  
Cerebral Palsy ◽  
Upper Limb ◽  
Movement Therapy ◽  
Limb Function ◽  
Upper Limb Function ◽  
Constraint Induced Movement Therapy ◽  
Significant Difference ◽  
Children With Cerebral Palsy ◽  
Bimanual Training ◽  
Spastic Hemiplegia

Abstract Introduction: Children with cerebral palsy (CP) in the form of spastic hemiplegia experience numerous difficulties concerning an affected upper limb such as reaching for objects, gripping or manipulating them. These limitations affect their everyday activity. Conducting an effective and simultaneously an interesting therapy aimed at meeting the child’s individual needs and improving upper limb function is a challenge for a physiotherapist. The aim of the study was to assess the effectiveness of upper limb therapy carried out within the project titled “The Pirate Group” based on Constraint-Induced Movement Therapy (CIMT) and Bimanual Training (BIT) conducted in a specially arranged environment. Material and methods: The research included 16 children with CP in the form of spastic hemiplegia. Mean age of the study participants was 4.23 years. The children underwent a two-week Constraint-Induced Movement Therapy (CIMT) combined with Bimanual Training (BIT). In order to evaluate the effects of the therapy, each child underwent the Assisting Hand Assessment (AHA) prior to the therapy and after its completion. Results: Statistical analysis revealed a significant difference (p<0.05) between the results of AHA prior to and after the therapy (t(14)=9.12, p<0.0001). An improvement in the affected upper limb function was noted in all the children participating in the research. Conclusions: The project titled “The Pirate Group”, based on CIMT and BIT is an effective therapeutic intervention which improves spontaneous activity of the affected upper limb in children with hemiplegia.

scholarly journals Body Composition in Female Patients with Adhesion Capsulitis of the Shoulder: A Case-Control Study

2021 ◽  
Author(s):  
Motoi Fujiwara ◽  
Masaaki Ito ◽  
Shuang-Qin Yi
Keyword(s):  
Body Composition ◽  
Shoulder Pain ◽  
Upper Limb ◽  
The Body ◽  
Control Group ◽  
Composition Distribution ◽  
Mean Values ◽  
Affected Side ◽  
Significant Difference ◽  
The Right

Abstract Background: Many studies have attempted to clarify factors associated with the development of shoulder periarthritis. In its early stage, omalgia impairs normal, everyday life. Due to this pain, muscle force decreases in the affected side of the upper limb, and a change occurs in body composition distribution, especially in the upper limb. Currently, body composition distribution can be measured using dual energy X-ray absorptiometry (DEXA). Methods: 102 patients with unilateral shoulder pain over 3 months (5 males and 97 females, mean age: 62.5 ± 10.5 years) were assigned to the shoulder pain group (painful group). The control group consisted of 237 patients without shoulder pain (20 males and 197 females, mean age: 59.8 ±14.2 years). These factors were measured using a QDR-4500 DEXA scanner (Hologic Co., Ltd.). Results: Mean values of bone mineral density were 0.57 ±0.09 g/cm2 on the affected side and 0.59 ± 0.08 g/cm2 on the non-affected side in the painful group. Mean values in the control group were 0.57 ± 0.14 g/cm2 on the left side and 0.58 ±0.09 g/cm2 on the right side. There was no significant difference between the shoulder with and without pain, affected and non-affected side. Mean proportions of the upper limb that was fat were 40.1 ± 9.5% on the affected side and 35.7 ±9.8% on the non-affected side in the painful group. In the control group, the means were 39.2 ±11.1% on the left side and 37.5 ± 10.9% on the right side. The mean muscle masses of the upper limb were 1548.5 ±304.2 g on the affected side and 1723.5 ±321.5 g on the non-affected side in the painful group. There was a significant difference between the affected and non-affected side. Conclusions: We measured the body composition of the upper limb. Muscle mass of upper limb was significantly different between the affected and non-affected sides.

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