期刊
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
卷 88, 期 3, 页码 298-301出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.apmr.2006.12.007
关键词
pain; quality of life; rehabilitation; shoulder; stroke
资金
- NCRR NIH HHS [M01RR0080] Funding Source: Medline
- NICHD NIH HHS [R44HD34996, K12HD01097] Funding Source: Medline
Objective: To assess the relationship between poststroke shoulder pain, upper-limb motor impairment, activity limitation, and pain-related quality of life (QOL). Design: Cross-sectional, secondary analysis of baseline data from a multisite clinical trial. Setting: Outpatient rehabilitation clinics of 7 academic medical centers. Participants: Volunteer sample of 61 chronic stroke survivors with poststroke shoulder pain and glenohumeral subluxation. Interventions: Not applicable. Main Outcome Measures: We measured poststroke shoulder pain with the Brief Pain Inventory question 12 (BPI 12), a self-reported 11-point numeric rating scale (NRS) that assesses worst pain in the last 7 days. Motor impairment was measured with the Fugl-Meyer Assessment (FMA). Activity limitation was measured with the Arm Motor Ability Test (AMAT) and the FIM instrument. Pain-related QOL was measured with BPI question 23, a self-reported 11-point NRS that assesses pain interference with general activity, mood, walking ability, normal work, interpersonal relationships, sleep, and enjoyment of life. Results: Stepwise regression analyses indicated that post-stroke shoulder pain is associated with the BPI 23, but not with the FMA, FIM, or AMAT scores. Conclusions: Poststroke shoulder pain is associated with reduced QOL, but not with motor impairment or activity limitation.
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