This review presents recent data concerning possible causes and the main conditions of post-stroke pain in the shoulder. Diagnostic aspects of post-stroke pain in the shoulder joint are considered. Review presents current concepts according to foreign and domestic authors on basic physiotherapy techniques of physical therapy for pain in the shoulder after acute lesion of cerebral circulation. There has been made an analysis of methods of rehabilitation treatment of patients with this pathology.

About the authors

Tatiana P Shagivalieva

Kazan state medical university

420012, Kazan, Butlerov street, 49
the chair of neurology and rehabilitation

Guzel K Starostina

Kazan state medical university

420012, Kazan, Butlerov street, 49
the chair of neurology and rehabilitation

Liliy A Muhamadeeva

The republican clinical hospital of Health Ministry of RT

420064, Kazan, Orenburgsky tract, 138


  1. Кадыков А.С., Черникова Л.А., Шахпаронова Н.В. Реабилитация неврологических больных. М.: МЕДпресс-информ. 2008. 564 с
  2. Кадыков А.С., Сашина М.Б., Черникова Л.А. Постинсультные болевые синдромы // Атмосфера. Нервные болезни. 2004. № 3. С. 25-27
  3. Клименко А.Ю. Комплексный региональный болевой синдром. Эволюция, этиопатогенез, лечение // Дунайский медицинский вестник. Он-лайн журнал 05.09.2004: http://danubecare. odessa.
  4. Лукомский И.В., Иванченко М.Г. Комплексная реабилитация пациентов с постинсультным «синдром болевого плеча» // Лечебное дело. 2013. № 1 (29). С. 45-50.
  5. Никифоров А.С., Мендель О.И. Болевой синдром в плече-лопаточной области: современные подходы к диагностике и лечению // Русский медицинский журнал. 2008. Т. 16, № 12
  6. Новиков А.В., Яхно Н.Н. Комплексный регионарный болевой синдром как вариант хронической нейропатической боли // Русский медицинский журнал. 2001. Т. 9, № 25. C.1152-1162
  7. Суслина З.А., Варакин Ю.Я., Верещагин Н.В. Сосудистые заболевания головного мозга: Эпидемиология. Патогенетические механизмы. Профилактика. М.: МЕДпресс-информ. 2009. 352 с
  8. Шагивалеева Т.П., Тахавиева Ф.В.Обоснование и эффективность восстановительного лечения при постинсультной боли в плече, осложненной лимфатическим отеком // Вестник восстановительной медицины (научно-практ. журнал). 2012.№ 5. С. 15-18
  9. Acerra Nicole E., Souvlis Tina, Moseley Lorimer G. Stroke, complex regional pain syndrome and phantom limb pain: Can commonalities direct future management? // Journal of Rehabilitation Medicine. 2007. Vol. 39, № 2. Р. 109-114
  10. Anderson L. Hemiplegic Shoulder Pain // Am. J. Occup Ther. 1985. Vol. 39, №1. Р. 215-239
  11. Appel C., Mayston M., Perry L. Feasibility study of a randomized controlled trial protocol to examine clinical effectiveness of shoulder strapping in acute stroke patients // Clin. Rehabil. 2011. Vol. 25, № 9. Р. 833-843
  12. Aras M.D. et al. Shoulder pain in hemiplegia: results from a national rehabilitation hospital in Turkey // Am. J. Phys. Med. Rehabil. 2004. Vol. 83(9). P. 713-719
  13. Barlak A., Unsal S., Kaya K. et al. Poststroke shoulder pain in Turkish stroke patients: relationship with clinical factors and functional outcomes // International Journal of Rehabilitation Research. 2009. Vol. 32(4). P. 309-315
  14. Bender L., McKenna K. Hemiplegic shoulder pain: defining the problem and its management // Disabil Rehabil. 2001. Vol. 23(16). P. 698-705
  15. Bobath B. Adult hemiplegia: evaluation and treatment. London: William Heinemann, 1978
  16. Boonsong P., Jaroenarpornwatana A., Boonhong J. Preliminary study of suprascapular nerve block (SSNB) in hemiplegic shoulder pain // Journal of the Medical Association of Thailand= Chotmaihet thangphaet, 2009. Vol. 92(12). P. 1669-1674
  17. Borisova Y., Bohannon R. W. Positioning to prevent or reduce shoulder range of motion impairments after stroke: a meta-analysis // Clinical rehabilitation. 2009. Vol. 23(8). P. 681-686
  18. Cacchio A., De Blasis E., De Blasis V. et al. Mirror therapy in complex regional pain syndrome type 1 of the upper limb in stroke patients // Neurorehabilitation and neural repair. 2009. Vol. 23(8). P. 792-799
  19. Chae J., Mascarenhas D., Yu D. et al. Post-stroke shoulder pain: Relationship to motor impairment, activity limitation and quality of life // Arch. Phys. Med. Rehabil. 2007. Vol. 88. P. 298-301
  20. Chae J., Jedlicka L. Subacromial corticosteroid injection for poststroke shoulder pain: an exploratory prospective caseseries // Arch. Phys. Med. Rehabil. 2009. № 90. P. 501-506
  21. Chu D. S., Petrillo C., Davis S.W., Eichberg R. Should-hand syndrome: importance of early diagnosis and treatment // Journal of the American Geriatrics Society. 1981. Vol. 29(2). P. 58
  22. Church C., Price C., Pandyan A.D. et al. Randomized Controlled Trial to Evaluate the Effect of Surface Neuromuscular Electrical Stimulation to the Shoulder After Acute Stroke // Stroke. 2006. Vol. 37. P. 2995-3001
  23. Dromerick A.W., Edwards D.F., Kumar A. Hemiplegic shoulder pain syndrome: frequency and characteristics during inpatient stroke rehabilitation // Arch. Phys. Med. Rehabil. 2008. № 89. Р.1589-1593
  24. Frese A., Husstedt I.W., Ringelstein E.B., Evers S. Pharmacologic Treatment of Central PostStroke Pain // Clin. J. Pain. 2006. Vol. 22, № 3. P. 252-260
  25. Freynhagen R.J., Bennett M.I. Diagnosis and managementof neuropathic pain (Clinical Review) // BMJ. 2009. №339. P. 391-395
  26. Gamble G. E., Barberan E., Laasch H.-U. et al. Poststroke shoulder pain: a prospective study of the association and risk factors in 152 patients from a consecutive cohort of 205 patients presenting with stroke // European Journal of Pain. 2002. № 6. Р. 467-474
  27. Gilmore P.E., Spaulding S.J., Vandervoort A.A. Hemiplegic shoulder pain: implications for occupational therapy treatment // Canadian Journal of Occupational Therapy. 2004. Vol. 71(1). P. 36-46
  28. Gustafsson L., K. McKenna A. Рrogramme of static positional stretches does not reduce hemiplegic shoulder pain or maintain shoulder range of motion--a randomized controlled trial // Clin Rehabil. 2006. Vol.20, №4. Р. 277-286
  29. Hartwig M., Gelbrich G., Griewing B. Functional orthosis in shoulder joint subluxation after ischaemic brain stroke to avoid post-hemiplegic shoulder-hand syndrome: a randomized clinical trial // Clinical rehabilitation. 2012. Vol. 26(9). P. 807-816
  30. Henry J.L., Lalloo C., Yashpa K. Central poststroke pain: an abstruse outcome // Pain Res & Manag. 2008. Vol. 1, № 3. Р. 141-149
  31. Indredavik B., Rohweder G., Naalsund E., Lydersen S. Medical complications in a comprehensive stroke unit and an early supported discharge service // Stroke. 2008. Vol. 39, №2. P. 414-420
  32. Joynt R.L. The source of shoulder pain in hemiplegia // Arch. Phys. Med. Rehabil. 1992. Vol. 73(5). P. 409-413
  33. Kaplan M. Hemiplegic shoulder pain-early prevention and rehabilitation // West J. Med. 1995. Feb. Vol.162 (2). P. 151-152
  34. Klit H., Finnerup N.B., Jensen T.S. Central post-stroke pain: clinical characteristics, pathophysiology, and management // Lancet Neurol. 2009. Vol.8, № 9. P. 857-68
  35. Kong K.H., Neo J.J., Chua K.S. Randomized controlled study of botulinum toxin A in the treatment of hemiplegic shoulder pain associated with spasticity // Clin. Rehabil. 2007. Vol. 21. P. 28-35
  36. Kumar B., Kalita J., Kumar G., Misra U.K. Central poststroke pain: a review of pathophysiology and treatment // Anesth Analg. 2009. №108. P .1645-1657
  37. Laske E., Gunduz B., Celik E.C. The effects of local shoulderinjections in hemiplegic shoulder pain // Am. J. Phys. Med. Rehabil. 2009. Vol. 88. P. 805-814
  38. Lindgren I., Jonsson A.C., Norrving B. et al. Shoulder pain after stroke: a prospective population-based study // Stroke. 2007. Vol. 38. P. 343-348
  39. Lo S.F., Chen S.Y., Lin H.C. et al. Arthrographic and clinical findings in patients with hemiplegic shoulder pain // Arch. Phys. Med. Rehabil. 2003. №84. P . 1786-1791
  40. Lynch D., Ferraro M., Krol J. et al. Continuous passive motion improves shoulder joint integrity following stroke // Clinical rehabilitation. 2005. Vol. 19(6). P. 594-599
  41. Marciniak C.M., Harvey R.L., Gagnon C.M. et al. Does botulinum toxin type A decrease pain and lessen disability in hemiplegic survivors of stroke with shoulder pain and spasticity? : a randomized, double-blind, placebo-controlled trial // American journal of physical medicine & rehabilitation. 2012. Vol. 91(12). P. 1007-1019
  42. Mok E., Woo C.P. The effects of slow-stroke back massage on anxiety and shoulder pain in elderly stroke patients // Complementary Therapies in Nursing and Midwifery. 2004. Vol. 10(4). P. 209-216
  43. Partridge C.J., Edwards S.M., Mee R., Van Langenberghe H.V.K. Hemiplegic shoulder pain: a study of two methods of physiotherapy treatment // Clinical rehabilitation. 1990. Vol. 4(1). P. 43-49
  44. Ramachandran V.S., Altschuler E.L. The use of visual feedback, in particular mirror visual feedback, in restoring brainfunction // Brain.2009. Vol. 132. P. 1693-1710
  45. Roosink M., Renzenbrink G.., Buitenweg J. et al. Central neuropathic mechanisms in post-stroke shoulder pain (PSSP) // Eur. J. of Pain: Abstracts of pain in Europe VI, Lisbon, Portugal, 9-12 sept. 2009
  46. Shah R. R., Haghpanah S., Elovic E. P. et al. MRI findings in the painful poststroke shoulder // Stroke. 2008. Vol. 39(6). P. 1808-1813
  47. Shin B.C., Lee M.S. Effects of aromatherapy acupressure on hemiplegic shoulder pain and motor power in stroke patients: a pilot study // J. Altern. Complement. Med. 2007. Vol. 13. P. 247-251
  48. Suethanapornkul S., Kuptniratsaikul P., Kuptniratsaikul V. et al. Post stroke shoulder subluxation and shoulder pain: a cohort multicenter study // J. Med. Assoc. Thai. 2008. Vol.91, № 12. Р. 1885-1892
  49. Teasell R.W., Foley N.C. et al. Painful Hemiplegic Shoulder. Evidence-Based Review of Stroke Rehabilitation. Sept. 2013. P. 66
  50. Treede R.D., Jensen T.S., Campbell J.N. et al. Neuropathic pain: redefinition and a grading system for clinical and research purposes // Neurology. 2008. Vol. 70, №18. P. 1630-1635
  51. Turner-Stokes L., Jackson D. Shoulder pain after stroke: a review of the evidence base toinform the development of an integrated care pathway // Clin Rehabil. 2002. Vol. 16(3). P. 276-298
  52. Tyson S., Kent R. The effect of upper limb orthotics after stroke: asystematic review // NeuroRehabilitation. 2011. Vol. 28. P. 29-36
  53. Vuagnat H, Chantraine A. Shoulder pain in hemiplegia revisited: contribution of functional electrical stimulation and other therapies // J. Rehabil. Med. 2003. Vol. 35(2). P. 49-54
  54. Walsh K. Management of shoulder pain in patients with stroke // Postgrad Med J.2001. Vol. 77(912). P. 645-649
  55. Yu D.T., Chae J., Walker M.E. et al. Intramuscular neuromuscular electric stimulation for poststroke shoulder pain: a multicenter randomized clinical trial // Arch. Phys. Med. Rehabil. 2004. Vol. 85(5). P. 695-704



Abstract - 59


Article Metrics

Metrics Loading ...




  • There are currently no refbacks.

Copyright (c) 2014 Shagivalieva T.P., Starostina G.K., Muhamadeeva L.A.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies