Shoulder pain after stroke – experiences, consequences in daily life and effects of interventions: a qualitative study

Research output: Contribution to journalArticle

Abstract

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. Implications for rehabilitationShoulder pain after stroke can lead to a variety of pain characteristics with radiation to the arm and handShoulder pain often influence personal care, household activities and leisure negatively, which may lead to emotional reactionsSelf-management interventions with gentle movements are perceived most effectiveAs the shoulder pain after stroke is complex, interventions by a multidisciplinary team may be needed

Details

Authors
Organisations
External organisations
  • Skåne University Hospital
  • Luleå University of Technology
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Physiotherapy

Keywords

  • activities of daily living, interview, pain perception, rehabilitation, shoulder pain, Stroke
Original languageEnglish
Pages (from-to)1176-1182
JournalDisability and Rehabilitation
Volume40
Issue number10
Early online date2017 Mar 3
Publication statusPublished - 2018
Publication categoryResearch
Peer-reviewedYes