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Pain management strategies among persons with long-term shoulder pain after stroke – a qualitative study

Lindgren, Ingrid LU ; Brogårdh, Christina LU and Gard, Gunvor LU (2019) In Clinical Rehabilitation 33(2). p.357-364
Abstract

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,... (More)

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.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
coping, interview, qualitative study, rehabilitation, shoulder pain, Stroke
in
Clinical Rehabilitation
volume
33
issue
2
pages
357 - 364
publisher
SAGE Publications
external identifiers
  • pmid:30255715
  • scopus:85059692756
ISSN
0269-2155
DOI
10.1177/0269215518802444
language
English
LU publication?
yes
id
127487fb-3a0c-4d45-bbc1-9792a43a85e3
date added to LUP
2019-01-17 14:42:24
date last changed
2024-04-29 22:56:59
@article{127487fb-3a0c-4d45-bbc1-9792a43a85e3,
  abstract     = {{<p>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.</p>}},
  author       = {{Lindgren, Ingrid and Brogårdh, Christina and Gard, Gunvor}},
  issn         = {{0269-2155}},
  keywords     = {{coping; interview; qualitative study; rehabilitation; shoulder pain; Stroke}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{357--364}},
  publisher    = {{SAGE Publications}},
  series       = {{Clinical Rehabilitation}},
  title        = {{Pain management strategies among persons with long-term shoulder pain after stroke – a qualitative study}},
  url          = {{http://dx.doi.org/10.1177/0269215518802444}},
  doi          = {{10.1177/0269215518802444}},
  volume       = {{33}},
  year         = {{2019}},
}