title: The effects of ultrasound-guided corticosteroid injection for the treatment of hemiplegic shoulder pain on depression and anxiety in patients with chronic stroke.
abstract: OBJECTIVE
  We attempted to investigate whether ultrasound (US)-guided intra-articular or subacromial bursa corticosteroid injections can potentially influence the severity of depression and anxiety in patients with chronic stroke with hemiplegic shoulder pain (HSP).
  
  
  METHODS
  Thirty patients with chronic stroke with HSP received US-guided corticosteroid injections. Numeric rating scale (NRS) scores, passive shoulder range of motion (ROM), Beck Depression Inventory (BDI) scores and Spielberger State-Trait Anxiety Inventory (STAI) scores were evaluated before the injection, and one and two months after the injection.
  
  
  RESULTS
  NRS, passive shoulder ROM, BDI and STAI scores were significantly lower one and two months following the injection. Changes in NRS scores were significantly correlated with changes in psychological outcomes (BDI and STAI).
  
  
  CONCLUSIONS
  US-guided intra-articular or subacromial bursa corticosteroid injections might be a beneficial treatment option for relieving depression and anxiety symptoms in patients with chronic stroke with HSP. Also, US-guided injections appear to be helpful for reducing shoulder pain and increasing shoulder ROM.
authors.affiliation: a Department of Physical Medicine and Rehabilitation , College of Medicine, Yeungnam University , Daegu , Republic of Korea.
authors.forename: Min Cheol
authors.initials: MC
authors.lastname: Chang
mesh_terms: D000305:Adrenal Cortex Hormones / Q000008:administration & dosage / Q000494:pharmacology*; D000328:Adult; D000368:Aged; D001007:Anxiety / Q000209:etiology*; D002908:Chronic Disease; D003863:Depression / Q000209:etiology*; D005260:Female; D006429:Hemiplegia / Q000150:complications* / Q000209:etiology; D006801:Humans; D007270:Injections, Intra-Articular / Q000379:methods*; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D020069:Shoulder Pain / Q000188:drug therapy* / Q000209:etiology; D020521:Stroke / Q000150:complications* / Q000523:psychology; D014463:Ultrasonography
chemical_list: D000305:Adrenal Cortex Hormones
keywords: Corticosteroid injection; anxiety; depression; hemiplegic shoulder pain; stroke