İnmeli Hastada Omuz Ağrısına Yaklaşım

Abstract

İnme yetişkinlerdeki uzun dönem dizabilitenin en sık nedenlerindendir. Hemiplejik omuz ağrısı prevalansı; inme geçiren genel popülasyonda yaklaşık %22-23’tür. Rehabilite edilen inme hastalarında ise yaklaşık %54-55 olarak değerlendirilmiştir. İnme hastalarının yönetiminde omuz ağrısı etyolojisinin belirlenmesi, doğru tanı ve etkili müdahale ile fonksiyonelliğin artırılması ve ağrı kontrolü rehabilitasyonun amaçlarındandır. Hemiplejik omuz ağrısının yönetimi ile ilgili literatürde son zamanda enjeksiyonlar, tamamlayıcı tıp yöntemleri ile ilgili yayınlar hızla artmaktadır. Güncel metanalizlerde akut dönem hemiplejik omuz ağrısı yönetimi ve eklem hareket açıklığının artırılmasında supraskapular sinir enjeksiyonları önerilmektedir. Botulinum toksin enjeksiyonları ile ağrı ve eklem hareket açıklığının iyileştiği ve bu etkinin uzun dönemde de sürdüğü bildirilmiştir. Hemiplejik omuz ağrılı hastalarda tamamlayıcı tıp yöntemlerinden akupunktur, kuru iğneleme, nöromüsküler bantlama uygulaması ile ilgili çalışmalar yapılmıştır. Bu derleme güncel literatür eşliğinde inmeli hastada omuz ağrısı epidemiyolojisi ve tanı yöntemleri ve hemiplejik omuz ağrısına yaklaşımı konu almaktadır.

Keywords

• hemiplejik omuz ağrısı
• derleme
• inme
• ağrı
• rehabilitasyon

Project Number

none

Shoulder Pain in Patients With Stroke

Abstract

Stroke is one of the most common causes of long-term disability in adults. Prevalence of hemiplegic shoulder pain; it is approximately 22-23% in the general population who have had a stroke. It has been evaluated as approximately 54-55% in rehabilitated stroke patients. One of the aims of rehabilitation in the management of stroke patients is to determine the etiology of shoulder pain, to increase functionality and pain control with correct diagnosis and effective intervention. In the literature on the management of hemiplegic shoulder pain, publications on injections and complementary medicine methods have been increasing rapidly. In current meta-analyses, suprascapular nerve injections are recommended for the management of acute hemilegic shoulder pain and increasing the range of motion of the joint. It has been reported that pain and joint range of motion improve with botulinum toxin injections and this effect persists in the long term. Studies on acupuncture, dry needling, and neuromuscular taping, which are complementary medicine methods, have been conducted in patients with hemiplegic shoulder pain. This review covers the epidemiology and diagnostic methods of shoulder pain in stroke patients and the approach to hemiplegic shoulder pain in the light of current literature.

Keywords

• hemiplegic shoulder pain
• stroke
• rehabilitation
• review
• pain

Supporting Institution

none

Project Number

none

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