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Pain management strategies among persons with long-term shoulder pain after stroke: a qualitative study
Department of Neurology and Rehabilitation Medicine, Skåne University Hospital, Lund; Physiotherapy Research Group, Department of Health Sciences, Lund University, Lund.
Department of Neurology and Rehabilitation Medicine, Skåne University Hospital, Lund; Physiotherapy Research Group, Department of Health Sciences, Lund University, Lund.
Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.ORCID iD: 0000-0001-6975-8344
2019 (English)In: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 33, no 2, p. 357-364Article in journal (Refereed) Published
Abstract [en]

Objective: To explore strategies that persons with persistent shoulder pain after stroke use to manage their pain in daily life. Design: A qualitative study using semi-structured face-to-face interviews, analysed by content analysis. Setting: A university hospital. Subjects: Thirteen community-dwelling persons (six women; median age: 65 years; range 57-77) with shoulder pain after stroke were interviewed median two years after the pain onset. Results: An overall theme 'Managing shoulder pain by adopting various practical and cognitive strategies' emerged from the analysis. Three categories were identified: (1) practical modifications to solve daily life problems; (2) changed movement patterns and specific actions to mitigate the pain, by non-painful movements, avoidance of pain-provoking activities and various pain distracting activities and (3) learned how to deal with the pain mentally. Several strategies were used simultaneously and they were experienced successful to various degrees. Conclusion: The findings in the present study indicate that persons with persistent shoulder pain after stroke use both practical and cognitive strategies to manage their pain.

Place, publisher, year, edition, pages
Sage Publications, 2019. Vol. 33, no 2, p. 357-364
Keywords [en]
Stroke, shoulder pain, rehabilitation, interview, coping, qualitative study
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
URN: urn:nbn:se:ltu:diva-71089DOI: 10.1177/0269215518802444ISI: 000456887100021PubMedID: 30255715Scopus ID: 2-s2.0-85059692756OAI: oai:DiVA.org:ltu-71089DiVA, id: diva2:1253011
Note

Validerad;2019;Nivå 2;2019-02-13 (johcin)

Available from: 2018-10-03 Created: 2018-10-03 Last updated: 2019-02-13Bibliographically approved

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Gard, Gunvor

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