Hemiplegični bol u ramenu

Abstract

Hemiplegic shoulder pain is a common complication of stroke which affects the functioning and quality of life in stroke patients. Also, this pain limits the patient's participation in specific rehabilitation programs which leads to the poor functional results. Most of the studies dealing with the pathophysiology hemiplegic painful shoulder focus on musculoskeletal causes such as subluxation, rotator cuff disorders, spasticity, adhesive capsulitis and others. But it should be noted that the pain in the shoulder after stroke may be of neuropathic origin. Because of the various and multifactorial etiology hemiplegic shoulder pain, treatment is often difficult and the results unsatisfactory. In the literature there are many treatments with varying degrees of success. The aim of this study is to elucidate the pathophysiological mechanisms that lead to hemiplegic shoulder pain and to examine the available data in order to treat this serious problem in the best way. The methodology of this study involved review of relevant literature, magazines, and the Internet databases MEDLINE, EMBASE, Cochrane Database of Systematic Reviews. The exact cause of shoulder pain is not fully understood, it is likely that the causes are multidimensional and include both musculoskeletal and neuropathic components. It is clear that new methods of treatment are needed and quantitative somatosensory testing may help guide the development and evaluation of the effectiveness of these new treatments.