Article

Hemiplegic shoulder pain is a common complication of stroke. The primary aim of this study was to determine the association of hemiplegic shoulder
pain with health-related quality of life at 12 months after first stroke in a
population-based registry.
The secondary aim was to identify other factors
associated with health-related quality-of-life outcomes.
DESIGN: A prospective
population-based study in a geographically defined region of Adelaide, South
Australia was conducted. Multiple ascertainment methods identified all cases of
stroke within a 12-month period. Objective and subjective measures were
undertaken at baseline and at 4 and 12 months' follow-up. Multiple regression
analyses identified independent variables (including exposure to shoulder pain
and depression, 12-month dependence, access to formal rehabilitation) associated
with health-related quality of life, defined by the summary index score derived
from EuroQol-5D-3L at 12 months post-stroke. RESULTS: Hemiplegic shoulder pain,
depression, increased dependency, stroke severity, and absence of initial
rehabilitation were each associated with reduction in quality of life. Age, sex,
stroke type, Oxfordshire classification, and discharge destination were not
related to quality of life. CONCLUSION: Hemiplegic shoulder pain reduces
health-related quality of life at 12 months. More effort should be directed
towards screening and management of this frequent complication of stroke.

Langue : ANGLAIS