Evaluation of SPADI and VAS in stroke patients with hemiplegic shoulder pain: A comparative study
Keywords:
VAS, Disability, stroke, SPADIAbstract
Background: This study aims to evaluate the effectiveness of SPADI and VAS as measurement tools in assessing shoulder pain in stroke patients with hemiplegia. Given the impact of accurate pain assessment on rehabilitation outcomes, the study is designed to compare these tools to determine their reliability and usefulness in clinical settings for managing hemiplegic shoulder pain.
Methodology & Results: This 12-month experimental study at Pacific Medical University enrolled 60 stroke patients (≥40 years) with hemiplegic shoulder pain and subluxation. Approved by the Institutional Ethics Committee, it utilized VAS and SPADI to assess pain and shoulder function. Exclusions included vulnerable diseases, tape allergy, and shoulder fractures. Informed consent was obtained, and patient confidentiality was ensured. The analysis revealed that SPADI effectively measured both pain and disability in stroke patients with hemiplegic shoulder pain (HSP), Comparative assessment showed consistent patterns between SPADI and VAS scores. Spearman’s correlation analysis demonstrated a significant positive correlation between SPADI and VAS scores
Conclusion: SPADI assesses pain and disability; VAS measures pain intensity quickly. This indicating strong association in pain evaluation.
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Ravichandran H, Janakiraman B, Sundaram S, Fisseha B, Gebreyesus T, Yitayeh Gelaw A. Systematic Review on Effectiveness of shoulder taping in Hemiplegia. J Stroke Cerebrovasc Dis. 2019 Jun;28(6):1463-1473.Deng P, Zhao Z, Zhang S, Xiao T, Li Y.
Ferrarello F, Baccini M, Rinaldi LA, Cavallini MC, Mossello E, Masotti G, Marchionni N, Di Bari M. Efficacy of physiotherapy interventions late after stroke: a meta-analysis. J Neurol Neurosurg Psychiatry. 2011 Feb;82(2):136-43. doi: 10.1136/jnnp.2009.196428. Epub 2010 Sep 8. PMID: 20826872
Mian Wang, Zi-wen Pei, Bei-dou Xiong, Xian-mei Meng, Xiao-li Chen, Wei-jing Liao,Use of Kinesio taping in lower-extremity rehabilitation of post-stroke patients: A systematic review and meta-analysis,Complementary Therapies in Clinical Practice,Volume 35,2019,
Krishnamurthi RV, Feigin VL, Forouzanfar MH, Mensah GA, Connor M, Bennett DA, Moran AE, Sacco RL, Anderson LM, Truelsen T, O'Donnell M, Venketasubramanian N, Barker-Collo S, Lawes CM, Wang W, Shinohara Y, Witt E, Ezzati M, Naghavi M, Murray C; Global Burden of Diseases, Injuries, Risk Factors Study 2010 (GBD 2010); GBD Stroke Experts Group. Global and regional burden of first-ever ischaemic and haemorrhagic stroke during 1990-2010: findings from the Global Burden of Disease Study 2010. Lancet Glob Health. 2013 Nov;1(5):e259-81. doi: 10.1016/S2214-109X(13)70089-5. Epub 2013 Oct 24. PMID: 25104492; PMCID: PMC4181351.
Yang SW, Choi JB. Effects of kinesio taping combined with upper extremity function training home program on upper limb function and self-efficacy in stroke patients: An experimental study. Medicine (Baltimore). 2024 Jul 26;103(30):e39050. doi: 10.1097/MD.0000000000039050. PMID: 39058810; PMCID: PMC11272269.
Bimo Sutomo, Subagyo, & Martha Kurnia Kusumawardani. (2021). Effects of Elastic Taping Application Added on Conventional Rehabilitation Therapy to Improve Shoulder Pain and Upper Extremity Motor Function on Subacute Phase Stroke Patients with Shoulder Subluxation. Indonesian Journal of Physical Medicine and Rehabilitation, 9(02), 95 - 112. https://doi.org/10.36803/ijpmr.v9i2.299
Deng P, Zhao Z, Zhang S, Xiao T, Li Y. Effect of kinesio taping on hemiplegic shoulder pain: A systematic review and meta-analysis of randomized controlled trials. Clin Rehabil. 2021 Mar;35(3):317-331
Vasudevan JM, Browne BJ. Hemiplegic shoulder pain: an approach to diagnosis and management. Phys Med Rehabil Clin N Am. 2014 May;25(2):411-37. doi: 10.1016/j.pmr.2014.01.010. Epub 2014 Mar 14. PMID: 24787341.
M. Murie-Fernández, M. Carmona Iragui, V. Gnanakumar, M. Meyer, N. Foley, R. Teasell, Painful hemiplegic shoulder in stroke patients: Causes and management, Neurología (English Edition), Volume 27, Issue 4,2012, Pages 234-244, ISSN 2173-5808, https://doi.org/10.1016/j.nrleng.2012.05.002.
Yang L, Yang J, He C. The Effect of Kinesiology Taping on the Hemiplegic Shoulder Pain: A Randomized Controlled Trial. J Healthc Eng. 2018 Dec 10; 2018:8346432.
Xie HM, Zhang XT, Xu L, Wang N, Wang R, Jia ZS, Zhang LN. Magnetic resonance imaging findings in painful hemiplegic shoulder patients with or without subluxation: A retrospective cohort study. Front Neurol. 2022 Nov 14; 13:1032676.
Aliya S Naviwala and Shruti Shrikant Patil and Ajay Kumar. Immediate Effects of Kinesio Taping on Upper Extremity Movements in Post-Stroke Hemiplegics. International Journal of Health Sciences and Research. 2020; 10:49.
Breckenridge JD, McAuley JH. Shoulder Pain and Disability Index (SPADI). J Physiother. 2011;57(3):197.
Xie HM, Zhang XT, Xu L, Wang N, Wang R, Jia ZS, Zhang LN. Magnetic resonance imaging findings in painful hemiplegic shoulder patients with or without subluxation: A retrospective cohort study. Front Neurol. 2022 Nov 14; 13:1032676.
Breckenridge JD, McAuley JH. Shoulder Pain and Disability Index (SPADI). J Physiother. 2011;57(3):197.
MacDermid JC, Solomon P, Prkachin K. The Shoulder Pain and Disability Index demonstrates factor, construct and longitudinal validity. BMC Musculoskelet Disord. 2006 Feb 10;7:12,
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