title: Hemiplegic Shoulder Pain Reduces Quality of Life After Acute Stroke: A Prospective Population-Based Study.
abstract: Hemiplegic shoulder pain is a common complication of stroke. The primary aim of this study was to determine the association of hemiplegic shoulder pain with health-related quality of life at 12 months after first stroke in a population-based registry. The secondary aim was to identify other factors associated with health-related quality-of-life outcomes.
  
  
  
  A prospective population-based study in a geographically defined region of Adelaide, South Australia was conducted. Multiple ascertainment methods identified all cases of stroke within a 12-month period. Objective and subjective measures were undertaken at baseline and at 4 and 12 months' follow-up. Multiple regression analyses identified independent variables (including exposure to shoulder pain and depression, 12-month dependence, access to formal rehabilitation) associated with health-related quality of life, defined by the summary index score derived from EuroQol-5D-3L at 12 months post-stroke.
  
  
  
  Hemiplegic shoulder pain, depression, increased dependency, stroke severity, and absence of initial rehabilitation were each associated with reduction in quality of life. Age, sex, stroke type, Oxfordshire classification, and discharge destination were not related to quality of life.
  
  
  
  Hemiplegic shoulder pain reduces health-related quality of life at 12 months. More effort should be directed towards screening and management of this frequent complication of stroke.
authors.affiliation: From the Department of Rehabilitation and Aged Care, Repatriation General Hospital, Flinders University of South Australia, Daw Park, Australia (ZA-W, EL, MC); Lyell McEwin Health Service and Royal Adelaide Hospital, RAH, Adelaide, Australia (JL, TK); The George Institute for Global Health, Neurological and Mental Health Division, University of Sydney, Royal Prince Alfred Hospital, Camperdown, Australia (CSA); and Faculty of Health Sciences, Discipline of Rural Health, School of Population Health, The University of Adelaide, Adelaide, Australia (JN).
authors.forename: Zoe
authors.initials: Z
authors.lastname: Adey-Wakeling
authors.forename: Enwu
authors.initials: E
authors.lastname: Liu
authors.forename: Maria
authors.initials: M
authors.lastname: Crotty
authors.forename: James
authors.initials: J
authors.lastname: Leyden
authors.forename: Timothy
authors.initials: T
authors.lastname: Kleinig
authors.forename: Craig S
authors.initials: CS
authors.lastname: Anderson
authors.forename: Jonathon
authors.initials: J
authors.lastname: Newbury
mesh_terms: D000704:Analysis of Variance; D003863:Depression / Q000209:etiology / Q000523:psychology; D005500:Follow-Up Studies; D006429:Hemiplegia / Q000209:etiology / Q000523:psychology* / Q000534:rehabilitation; D006801:Humans; D011446:Prospective Studies; D011788:Quality of Life; D012044:Regression Analysis; D012307:Risk Factors; D020069:Shoulder Pain / Q000209:etiology / Q000523:psychology* / Q000534:rehabilitation; D013021:South Australia; D020521:Stroke / Q000150:complications* / Q000523:psychology