Shoulder pain resulting from post-stroke hemiplegia can lead to significant disability. Shoulder pain can be caused by spasticity and by the position of the hemiplegic joint. Hemiplegic shoulder pain can limit patient’s recovery and functional independence post-stroke. Most rehabilitation strategies aim to prevent and/or improve pain through different therapeutic mediums (e.g. functional electrical stimulation, mirror therapy, etc.), as well to optimize hemiplegic shoulder positioning (e.g. use of positioning techniques, slings, etc.).
Authors*: Tatiana Ogourtsova, MSc OT; Annabel McDermott, OT; Dr Nicol Korner-Bitensky, PhD OT.
Evidence reviewed as of before 25-01-2013