Observational Study of Hemiplegic Shoulder Pain After Recent Stroke

St George's, University of London163 enrolled

Overview

This is an observational study to address the following questions. 1. How many people develop stroke-shoulder pain within 3 days of stroke? 2. How many people have stroke shoulder pain at 8-10 weeks after stroke? 3. Does having stroke-shoulder pain within 3 days of stroke predict the likelihood of having stroke-shoulder pain at 8-10 weeks? 4. What are the best bedside examination tests to identify stroke-shoulder pain?

Patients will be assessed very early after stroke (within 72 hours) and followed up 8-10 weeks later. Findings will enable planning of fully-powered randomised controlled trials of both, pain-prevention strategies and treatment.

Study Type

OBSERVATIONAL

Enrollment

163

Conditions

Shoulder Pain Hemiplegia Stroke

Interventions

ShoulderQ which is a shoulder pain questionnaireOTHER

Questions regarding shoulder pain at rest, during movement and at night with visual analogue scales. Factors affecting shoulder pain.

Clinical shoulder examinationOTHER

Shoulder-Hand-Score (measuring pain, oedema, passive range of movement), muscle strength (using Oxford scale and National Institute of Health Stroke Scale (NIHSS) upper limbe motor and shoulder joint palpation (recording subluxation and soft-tissue pain).

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: \- Clinical diagnosis of haemorrhagic or ischaemic stroke Exclusion Criteria: * Transient Ischaemic attack, * Neurological symptoms due to causes other than acute stroke, * Unconscious, * Severe behavioural disturbance, * Severe agitation, * Severe dementia, * For palliation, * Totally unable to communicate using any method - written, verbal, pictures, gesture

Locations (1)

St George's Hospital, Tooting

London, Greater London, United Kingdom