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

Lindgren, Ingrid LU ; Gard, Gunvor LU and Brogårdh, Christina LU (2017) In Disability and Rehabilitation p.1-7
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... (More)

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

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author
organization
publishing date
type
Contribution to journal
publication status
in press
subject
keywords
activities of daily living, interview, pain perception, rehabilitation, shoulder pain, Stroke
in
Disability and Rehabilitation
pages
7 pages
publisher
Taylor & Francis
external identifiers
  • scopus:85014480344
ISSN
0963-8288
DOI
10.1080/09638288.2017.1290699
language
English
LU publication?
yes
id
705090e0-8f51-46a8-a441-c5283647f9f2
date added to LUP
2017-03-17 17:09:36
date last changed
2018-01-14 04:31:08
@article{705090e0-8f51-46a8-a441-c5283647f9f2,
  abstract     = {<p>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</p>},
  author       = {Lindgren, Ingrid and Gard, Gunvor and Brogårdh, Christina},
  issn         = {0963-8288},
  keyword      = {activities of daily living,interview,pain perception,rehabilitation,shoulder pain,Stroke},
  language     = {eng},
  month        = {02},
  pages        = {1--7},
  publisher    = {Taylor & Francis},
  series       = {Disability and Rehabilitation},
  title        = {Shoulder pain after stroke – experiences, consequences in daily life and effects of interventions : a qualitative study},
  url          = {http://dx.doi.org/10.1080/09638288.2017.1290699},
  year         = {2017},
}