■据报道,多达40%的中风患者患有偏瘫肩痛(HSP)。HSP的原因通常是多因素的。告知适当的治疗,可靠/有效的评估至关重要。本范围审查的目的是整理主要结局为HSP的研究中使用的评估方法。并确定每种评估方法的使用频率。
■系统搜索,包括2000-2023年对MEDLINE进行的研究,EMBASE,CINAHL,AMED,BiomedCentral,和Cochrane图书馆数据库,使用了四个关键术语:“评估”,\"stroke\",“疼痛”和“肩膀”。包括所有以英语发表的符合评论纳入标准的主要研究。六个审阅者提取了数据。
■从124项研究中确定了总共29种HSP评估方法。常见的评估是:视觉模拟评分(n=75,60%),被动运动范围(n=65,52%),Fugl-Meyer评估(n=32,26%),肱骨半脱位(n=30,24%)和数值评定量表(n=27,22%)。
■为HSP确定了广泛的评估方法,有些比其他人使用得更多。全面评估,考虑疼痛的不同方面,包括严重程度和时间,功能,和心理负担,在这方面的实践需要能够指导适当的治疗。
据报道,多达40%的中风患者出现偏瘫肩痛,文献中报道了多种评估方法。对肩痛的简单询问可能不足以为患者提供最佳的临床护理,理想的评估方法是同时考虑定量和定性信息。在制定新措施之前,报告的四种常见评估(视觉模拟评分;被动运动范围;Fugl-Meyer评估和数值评定量表)应结合使用.
UNASSIGNED: Hemiplegic shoulder pain (HSP) is reported in up to 40% of people with stroke. Causes of HSP are often multifactorial. To inform appropriate treatment, reliable/valid assessments are critical. The aim of this scoping
review was to collate assessment approaches used in studies where the primary outcome was HSP, and to identify how frequently each assessment approach was used.
UNASSIGNED: A systematic search, including studies from 2000-2023 was conducted of the MEDLINE, EMBASE, CINAHL, AMED, Biomed Central, and Cochrane Library databases, with four key terms used: \"assess\", \"stroke\", \"pain\" and \"shoulder\". All primary studies published in English language fulfilling the reviews inclusion criteria were included. Six reviewers extracted the data.
UNASSIGNED: A total of 29 assessment methods for HSP were identified from 124 studies. The common assessments were: Visual Analogue Scale (n = 75, 60%), Passive Range of Movement (n = 65, 52%), Fugl-Meyer Assessment (n = 32, 26%), glenohumeral subluxation (n = 30, 24%) and Numerical Rating Scale (n = 27, 22%).
UNASSIGNED: A wide range of assessment approaches was identified for HSP, and some are used more than others. A fully comprehensive assessment that considers different aspects of pain including severity and timing, functioning, and the psychological burden, is needed in this area of practice to be able to guide appropriate treatment.
Hemiplegic shoulder pain is reported in up to 40% of people with stroke and a wide range of assessments approaches are reported in the literature.Simple questioning about shoulder pain may not be adequate for providing the best clinical care to patients and an ideal assessment approach would be one that takes into consideration both quantitative and qualitative information.Until a new measure is developed, the four common assessments reported (Visual Analogue Scale; Passive Range of Movement; Fugl-Meyer Assessment and Numerical Rating Scale) should be used in combination.