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TITLE:

A CROSS-SECTIONAL RESEARCH TO DETERMINE THE INTENSITY AND FREQUENCY OF SHOULDER PAIN AMONG STROKE SURVIVORS

AUTHORS:

Dr. Andleeb Tariq, Dr. Rafia Anser, Dr. Kiran Latif

ABSTRACT:

Objective: The objective of this research study was to determine the intensity and occurrence of shoulder pain among patients of stroke. The research was also aimed to determine the primary aetiology of stroke and involved side of pain along with the relationship between both. Patients and Methods: This cross-sectional research was carried out in the course of February to August 2019 at Sir Ganga Ram Hospital, Lahore on a total of one hundred patients who fulfilled WHO sample selection criteria. Both males and females were included in the research sample fulfilling the WHO definition of stroke. All the patients were reported within the timeframe of one year of pain. We did not include any patients who were reported for rheumatic disease, cognitive dysfunction and chronic pain patients. The pain that required analgesia for more than two continuous days was graded as shoulder pain which was scaled on the visual analogue scale. Results: In the total population of one hundred patients the calculated mean age was (63 ± 18) years. Females dominated males in the sample population. Total 24% of patients were males while the remaining 76% were females. Primary aetiology of ischemic stroke was present in 50 patients (62.5%) and absent in 30 patients (37.5%). Primary aetiology of hemorrhagic stroke was present in 8 patients (40%) and absent in 12 patients (60%). Left side pain was present among 32 patients (72.7%) and absent among 12 patients (27.3%); whereas, right-hand side pain was present among 26 patients (46.4%) and absent among 30 patients (53.6%). Majority of the patients (83.3%) reported moderate to severe pain. Left side pain was more prevalent with a proportion of (72.7%) among (62.5%) ischemic stroke patients. These associations were also statistically significant (respective P-values 0.061 and 0.197). Conclusion: Majority of the patients experiencing stroke developed shoulder pain in the first year and mostly reported moderate to severe pain. There was no significant relation between shoulder pain with side of involvement and primary aetiology of stroke. Keywords: Stroke, Shoulder Pain, Visual Analogue Scale (VAS), Primary Etiology, Ischemic and Hemorrhagic

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