Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective 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.

Friday, January 23, 2026

Cognitive Behavioural Therapy for Hemiplegic Shoulder Pain in Chronic Stroke Rehabilitation: A Case Management with Biopsychosocial Perspective

 And precisely how does mental therapy get rid of physical pain?

Cognitive behavioral therapy is a practical therapeutic approach for many mental health conditions.

Cognitive Behavioural Therapy for Hemiplegic Shoulder Pain in Chronic Stroke Rehabilitation: A Case Management with Biopsychosocial Perspective

Authors 
Cognitive behavioral therapy is a practical therapeutic approach for many mental health conditions.

SINGH, RAJEEV KUMAR; ROY, NITIKA; MATTU, SHAZIA; ROHILLA, PRINCE

Abstract

Stroke impairments can lead to various complications, including hemiplegia, sensory loss, dyspraxia, and hemianopsia. It is estimated that 16% to 84% of stroke patients experience Hemiplegic Shoulder Pain (HSP). In the present case, a 38-year-old man who had a left middle cerebral artery infarct two years prior showed good recovery of voluntary movement but continued to struggle with low self-esteem, psychological distress, mild weakness, and spasticity. He also experienced a dull ache in his right shoulder. To address these issues, a multimodal program integrating physiotherapeutic rehabilitation along with a structured Cognitive Behavioural Therapy (CBT) programme was implemented. The CBT programme consisted of 30-minute sessions held five days a week for four weeks and included three phases: educating the patient about stroke and CBT principles, focussing on cognitive restructuring and behavioural strategies, and consolidating skills learned. Depression, anxiety, and stress levels were measured using the Depression Anxiety Stress Scale (DASS) at baseline, after the intervention, and at a six-month follow-up. Significant reductions in psychological distress were noted after the CBT sessions, with sustained improvements observed at follow-up. The multimodal rehabilitation program was effective in addressing biopsychosocial factors and successfully reduced HSP in this patient with a chronic left Middle Cerebral Artery (MCA) infarct.

Subjects

SHOULDER pain; STROKE rehabilitation; COGNITIVE therapy; BIOPSYCHOSOCIAL model; PSYCHOLOGICAL distress; MEDICAL rehabilitation; PERCEIVED Stress Scale; MEDICAL protocols

Publication

Journal of Clinical & Diagnostic Research, 2026, Vol 20, Issue 2, p1

ISSN

0973-709X

Publication type

Academic Journal

DOI

10.7860/JCDR/2026/79821.22462

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