Burcu TALU, Suat KAMİSLİ, Yasin TALU

Relationship among pain, function, and motor activity in early hemiplegic patients

Aim: Evaluation of the relationship among upper extremity pain, function, and motor activity in early hemiplegic patientsMaterial and Methods: Fifty-three subjects, who had suffered hemiplegia between 1-3 months after stroke, were included in this study. Visual Analogue Scale was used for pain assessment, Fugl-Meyer Upper Extremity Motor Assessment Scale was used for upper extremity function evaluation, and Motor Activity Log-28 was used for evaluating motor activity after the demographic data of the subjects were recorded. Brunnstrom stages were used to identify, define, and quantify the recovery stages after stroke.Results: The average age of the individuals participating in the study was 54.56±8.10, and the Body Mass Index was 26.12±3.68. The subjects’ rest pain score was 30.00±19.90 and the activity pain score 42.83±24.44. The total score of the Fugl-Meyer UpperExtremity Motor Evaluatıon Scale was 18.84±17.08, the Quality of Movement sub-parameter score of the Motor Activity Log was 28 0.89±0.87, and the Amount of Use sub parameter score was 0.93±0.92. The relationship between the upper extremity function of the patients and motor activity was observed, which showed that all sub-parameters had a moderate correlation in the positive direction (r=0.539-0.779, p

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Chantraine A, Baribeault A, Uebelhart D, Gremion G. Shoulder pain and dysfunction in hemiplegia: effects of functional electrical stimulation. Arch Phys Med Rehabil 1999;80(3):328-31.
Gillen G. Stroke rehabilitation: a function-based approach: Elsevier Health Sciences; 2015.
Balci NC, Dogru E, Aytar A, Gokmen O, Depreli O. Comparison of upper extremity function, pain, and tactile sense between the uneffected side of hemiparetic patients and healthy subjects. J Physt Ther Sci 2016;28(7):1998-2001.
Levin MF, Musampa NK, Henderson AK, Knaut LA. New approaches to enhance motor function of the upper limb in patients with hemiparesis. Hong Kong Physiotherapy J 2005;23(1):2-5.
Paolucci S, Antonucci G, Grasso MG, Bragoni M, Coiro P, De Angelis D, et al. Functional outcome of ischemic and hemorrhagic stroke patients after inpatient rehabilitation: a matched comparison. Stroke 2003;34(12):2861-5.
Wade D, Lewer R, Skilbeck C. Stroke, a critical approach to diagnosis, treatment and management. editon. London: Chapman and Hall; 1985.
Kalichman L, Ratmansky M. Underlying pathology and associated factors of hemiplegic shoulder pain. Am J Phys Med Rehabil 2011;90(9):768-80.
Dromerick AW, Edwards DF, Kumar A. Hemiplegic shoulder pain syndrome: frequency and characteristics during inpatient stroke rehabilitation. Arch Phys Med Rehabil 2008;89(8):1589-93.
Lewis SJ, Barugh AJ, Greig CA, Saunders DH, Fitzsimons C, Dinan-Young S, et al. Is fatigue after stroke associated with physical deconditioning? A cross-sectional study in ambulatory stroke survivors. Arch Phys Med Rehabil 2011;92(2):295-8.
Teasell R, Foley N, Salter K, Bhogal S, Jutai J, Speechley M. Evidence-Based Review of Stroke Rehabilitation: executive summary, 12th edition. Top Stroke Rehabil 2009;16(6):463-88.
Harris JE, Eng JJ. Individuals with the dominant hand affected following stroke demonstrate less impairment than those with the nondominant hand affected. Neurorehabilitation and neural repair. 2006;20(3):380-9.
Rand D, Eng JJ. Disparity between functional recovery and daily use of the upper and lower extremities during subacute stroke rehabilitation. Neurorehabil Neural Repair 2012;26(1):76-84.
Fawcus R. Stroke rehabilitation: A collaborative Approach: John Wiley & Sons; 2008.
Feigin V, Barker-Collo S, Parag V, Senior H, Lawes C, Ratnasabapathy Y, et al. Auckland Stroke Outcomes Study Part 1: Gender, stroke types, ethnicity, and functional outcomes 5 years poststroke. Neurology 2010;75(18):1597-607.
Hayran M. Sağlık araştırmaları için temel istatistik: Omega Araştırma. Ankara 2011.
Safaz I, Ylmaz B, Yasar E, Alaca R. Brunnstrom recovery stage and motricity index for the evaluation of upper extremity in stroke: analysis for correlation and responsiveness. Int J Rehabil Res 2009;32(3):228-31.
Lindgren I, Jönsson AC, Norrving B, Lindgren A. Shoulder pain after stroke: a prospective population-based study. Stroke 2007;38(2):343-8.
Di Fabio RP, Badke MB. Relationship of sensory organization to balance function in patients with hemiplegia. Phys Ther 1990;70(9):542-8.
Duncan PW, Propst M, Nelson SG. Reliability of the FuglMeyer assessment of sensorimotor recovery following cerebrovascular accident. Phys Ther 1983;63(10):1606-10.
Çakar E, Dinçer Ü, Kiralp MZ, Kilac H, Tongur N, Taub E. Turkish adaptation of motor activity Log-28. Turk J Phys Med Rehabil 2010;56(1):1-5.
Uswatte G, Taub E, Morris D, Light K, Thompson PA. The Motor Activity Log-28: assessing daily use of the hemiparetic arm after stroke. Neurology 2006;67(7):1189-94.
Netz J, Lammers T, Homberg V. Reorganization of motor output in the non-affected hemisphere after stroke. Brain 1997;120( Pt 9):1579-86.
Chae J, Bethoux F, Bohine T, Dobos L, Davis T, Friedl A. Neuromuscular stimulation for upper extremity motor and functional recovery in acute hemiplegia. Stroke 998;29(5):975-9.
Pong YP, Wang LY, Wang L, Leong CP, Huang YC, Chen YK. Sonography of the shoulder in hemiplegic patients undergoing rehabilitation after a recent stroke. J Clin Ultrasound 2009;37(4):199-205.
Kibler WB. Closed kinetic chain rehabilitation for sports injuries. Phys Med Rehabil Clin N Am 2000;11(2):369-84.
Wilson RD, Chae J. Hemiplegic Shoulder Pain. Phys Med Rehabil Clin N Am 2015;26(4):641-55.
Peters SB, Lee GP. Functional impact of shoulder taping in the hemiplegic upper extremity. Occup Ther Health Care 2003;17(2):35-46.
Barreca S, Wolf SL, Fasoli S, Bohannon R. Treatment interventions for the paretic upper limb of stroke survivors: a critical review. Neurorehabil Neural Repair 2003;17(4):220-6.
Katz RT. Management of spastic hypertonia after stroke. Journal of Neurologic Rehabilitation. 1991;5(5_ suppl):S5-S12.