[Kinesiotherapy prevents shoulder pain in hemiplegic/paretic patients on sub-acute stage post-stroke].
BACKGROUND
Painful shoulder is considered the most common complication of hemiplegic/parethic (H/P) stroke patients. It is a negative factor for neuromotor recovery.


OBJECTIVE
To study the effects of kinesiotherapy treatment on shoulder pain prevention, and as a secondary endpoints, to analyze muscle strength of H/P shoulder looking at basic functional active mobility.


METHODS
Twenty one inpatients (12 men, 9 women) aged 26 to 87 years, with post-stroke H/P were submitted to thirty minutes daily program kinesiotherapy, started at 48 hours post-stroke up to their hospital discharge. Patients were evaluated pre and post treatment according to the presence or absence of shoulder pain, movements and shoulder strength, and for presence or absence of basic functional movements.


RESULTS
No patient complaining of shoulder pain at the hospital discharge (p<0.001). The muscle strength improved signifcantly for elevation, protusion, abduction and flexion of the shoulder (p<0.001). There was improvement also for functional mobility on moving from dorsal to lateral recumb, from lateral recumb to a seated position and in keeping the seated position (p<0.001).


CONCLUSIONS
Kinesiotherapy in acute phase of stroke prevented shoulder pain.
Universidade Federal de São Paulo, São Paulo, SP, Brasil. hornagnes@hotmail.com
Agnes Irna
AI
Horn
Sissy Veloso
SV
Fontes
Sebastião Marcos Ribeiro
SM
de Carvalho
Rubens Augusto Brazil
RA
Silvado
Pedro Marco Karan
PM
Barbosa
Alcides
A
Durigan
Alvaro Nagib
AN
Atallah
Marcia Maiumi
MM
Fukujima
Gilmar Fernandes
GF
do Prado
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006429:Hemiplegia / Q000150:complications / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010291:Paresis / Q000150:complications / Q000534:rehabilitation*; D020069:Shoulder Pain / Q000517:prevention & control / Q000534:rehabilitation*; D018709:Statistics, Nonparametric; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome