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Shoulder pain after stroke – experiences, consequences in daily life and effects of interventions: a qualitative study
Department of Neurology and Rehabilitation Medicine, Skåne University Hospital, Lund.
Luleå University of Technology, Department of Health Sciences, Health and Rehab.ORCID iD: 0000-0001-6975-8344
Lund University Hospital, Skåne University Hospital, Lund, Institutionen för hälsa, vård och samhälle, Lunds universitet, Department of Health Sciences, Lund University, Department of Rehabilitation Medicine, Skåne University Hospital.
Number of Authors: 3
2017 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose: To describe experiences of shoulder pain after stroke, how pain affects daily life and perceived effects of interventions.

Method: A qualitative interview study including 13 community-dwelling persons (six women; median age 65 years) with persistent shoulder pain after stroke.

Results: Three categories emerged from the content analysis. In “Multiple pain characteristics” an insidious pain onset was reported. The pain existed both day and night and could be located around the shoulder girdle but also have radiation to the arm and hand. An explanation of the pain was seldom given. In “Limitations caused by the pain” it was described how the pain negatively influenced personal care, household activities and leisure, but also could lead to emotional reactions. In “Multiple pain interventions with various effects” a variety of interventions were described. Self-management interventions with gentle movements were perceived most effective. A restraint attitude to pain medication due to side effects was reported.

Conclusions: Shoulder pain after stroke can lead to a variety of pain characteristics. As the pain is complex and may affect many important areas in a person’s life, multidisciplinary rehabilitation interventions are important.

Place, publisher, year, edition, pages
Taylor & Francis, 2017.
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
URN: urn:nbn:se:ltu:diva-62313DOI: 10.1080/09638288.2017.1290699PubMedID: 28637154OAI: oai:DiVA.org:ltu-62313DiVA: diva2:1078577
Available from: 2017-03-06 Created: 2017-03-06 Last updated: 2017-11-24

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Gard, Gunvor

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