Caglar NS, Akin T, Aytekin E, Komut EA, Ustabasioglu F, Okur S, Dogan Y, Erdem Hİ, Ataoglu E, Yalcinkaya E. Pain syndromes in hemiplegic patients and their effects on rehabilitation results.
J Phys Ther Sci 2016;
28:731-7. [PMID:
27134349 PMCID:
PMC4842430 DOI:
10.1589/jpts.28.731]
[Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2015] [Accepted: 11/25/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The aim of this study was to determine the frequency, type, and location of
pain in hemiplegic patients and the effects on rehabilitation results in our inpatient
rehabilitation unit. [Subjects and Methods] Patients rehabilitated between January 2010
and July 2012 were investigated retrospectively. Properties of pain were recorded. Pre-
and post-rehabilitation motor evaluation and achievement in daily activities were
considered, and differences in scores between groups classified as with and without pain
were examined. [Results] The number of patients included in the study was 156. The mean
age was 64.28 ± 12.45 years, the mean disease duration was 11.10 months, and the gender
distribution was 75 males (48%) and 81 females (52%). Fortysix (29.5%) patients had pain
complaints. The nociceptive pain ratio was 86.7%, and the neuropathic pain ratio was
13.3%. Pain was mostly localized at the shoulder joint, with the proportion being 86.9%.
In the pain group, statistically significant improvement was found in pain scores after
the treatment. There was no significant difference between groups in the pre- and
post-rehabilitation Brunnstrom motor evaluation and functional independence measurement
scores. [Conclusion] Nociceptive pain is more common than neuropathic pain in patients
with hemiplegia, and the shoulder joint is the most frequent location of nociceptive
pain.
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