Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 27,829 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain!trillions and trillions of neuronsthatDIEeach day because there areNOeffective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.
What this blog is for:
My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.
Monday, April 20, 2020
Predictability of Simple Clinical Tests to Identify Shoulder Pain After Stroke
Survivors don't give a shit about predicting shoulder pain, they want to know EXACTLY what you are going to do about it. A PROTOCOL. It has been 14 years, where the fuck do I go look for shoulder pain cures? I had shoulder pain for a short while, my therapists knew nothing and did nothing, it resolved on its' own. Why are any of these tests needed? You ask the patient; 'Do you have shoulder pain? Yes/No?' And this is the quality of stroke research out there? More prediction crapola?
Presented
to the 4th World Congress for NeuroRehabilitation, February 12−16,
2006, Hong Kong, and the International Stroke Congress, February 16−18,
2006, Kissimmie, FL.
Rajaratnam
BS, Venketasubramanian N, Kumar PV, Goh JC, Chan Y-H. Predictability of
simple clinical tests to identify shoulder pain after stroke.
Objective
To
identify simple diagnostic musculoskeletal tests that can be performed
early after stroke to predict patients’ likelihood of reporting early
signs of hemiplegic shoulder pain.
Design
Case control.
Setting
Multicenter acute care hospitals.
Participants
A
total of 152 adults after a first episode of stroke, of whom 135 met
the inclusion criteria. Thirty patients were assigned to the
experimental group because they reported moderate intensity of
hemiplegic shoulder pain at rest. The remaining 105 patients made up the
control group.
Interventions
Not applicable.
Main Outcome Measures
Therapists
measured the performance of combined upper-limb movement including the
hand-behind-neck (HBN) maneuver, passive pain-free ranges of shoulder
motion, 3 musculoskeletal tests, and the strength of deltoid muscles during each patient’s hospital stay. The numeric rating scale
(NRS) identified those who reported moderate or greater intensities of
hemiplegic shoulder pain during rest and during assessment.
Results
In
our study, 22.2% (95% confidence interval, 15.5−30.2) of the patients
reported hemiplegic shoulder pain, on average 1 week after the onset of
stroke. Positive Neer test (NRS score ≥5) during the HBN maneuver and a
difference of more than 10° of passive range of external rotation
between shoulders had a 98% probability of predicting the presence of
hemiplegic shoulder pain (receiver operating characteristic, .994;
sensitivity, 96.7%; specificity, 99.0%; positive predictive value,
96.7%; negative predictive value, 99.0%; P<.001).
Conclusions
Three
diagnostic clinical tests that can be performed during a bedside
evaluation increase the likelihood of determining those who complain of
hemiplegic shoulder pain after an acute episode of stroke.
No
commercial party having a direct financial interest in the results of
the research supporting this article has or will confer a benefit upon
the authors or upon any organization with which the authors are
associated.
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