Article

OBJECTIVE: To assess the differences in upper extremity sensorimotor function,
daily hand activities, and perceived participation and life satisfaction between
individuals with and without poststroke shoulder pain (PSSP), and to determine
how PSSP is associated with these variables. DESIGN:
A cross-sectional study of a
convenience sample. PARTICIPANTS: Forty-nine community-dwelling individuals (mean
+/- standard deviation [SD] age, 64 +/- 9 years), 24 with PSSP and 25 without
(non-PSSP) were assessed, in mean +/- SD 15 +/- 8 months after stroke. METHODS:
Upper extremity sensorimotor function was assessed, and daily hand activities,
perceived participation, and life satisfaction were reported. Demographics were
described, and shoulder pain characteristics were recorded in the PSSP group.
Between-group differences and regression analyses were conducted. RESULTS: The
PSSP group had significantly decreased passive shoulder abduction (P = .001) and
upper extremity motor function (P = .03) in comparison with the non-PSSP group,
but there were no significant differences between the groups in daily hand
activities, perceived participation, or life satisfaction. In the multivariate
analyses, PSSP (odds ratio [OR] 4.42 [95% confidence interval (CI), 1.21-16.24];
P = .03) and proprioception (OR 10.28 [95% CI, 1.1-96.01]; P = .04) were
associated with upper extremity motor function, whereas perceived participation
was associated with life satisfaction (OR 1.08 [95% CI, 1.03-1.13]; P = .002).
Passive shoulder abduction, resistance to passive movements, and proprioception
explained 45% of variance of daily hand activities, whereas daily hand
activities, vocational situation, and gender explained 40% of variance of
perceived participation. CONCLUSIONS: This cross-sectional study indicated that
there is an association between PSSP and upper extremity motor function, whereas
the association between PSSP, daily hand activities, perceived participation, and
life satisfaction is less clear. PSSP is commonly described as a severely
disabling condition, but our results imply that, in individuals with
mild-to-moderate upper extremity paresis, it may not have a great impact on their
life situation.
CI - Copyright (c) 2014 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS