Reliability of an Association between patients with Spatial Neglect after Stroke and their Shoulder PainIntroductionThe research aims to find out an association between patients with spatial neglect after stroke and their shoulder pain. It will determine the reliability of an association between patients with spatial neglect after stroke and their shoulder pain. It would try to establish that left shoulder pain is the result of neglect after the stroke and focus on the importance of looking at both the sides of the body after a stroke in order to avoid complications.
However, in order to undertake this research, it is also important to understand the previous studies conducted on this subject matter. Further, it is also imperative to comprehend the meaning of the shoulder pain and its association in post-stroke patients. Literature ReviewPain is considered to be a frequently occurring medical complication that takes place after a stroke (Langhorne et al. , 2000). Pain can not only affect the well being of a person and his or her quality of life (Kong et al. , 2004), but can also impact the rehabilitation program (Roy et al. , 1994).
However, it is difficult to measure the severity of pain and therefore, treating pain becomes problematic as well. This is due to the fact that pain also includes cognitive disorders. Stroke is also a very common condition and has very serious implications, but there is still no definite preventive treatment for this condition. Further, a post-stroke patient needs utmost care and should be given proper attention and professional care. However, it has been found that due to the absences of qualified professionals and technological advancements, most post-stroke patients only have rely on the rehabilitation programs (Langhorne et al. , 2000).
However, the rehabilitation after the stroke may get prolonged because of shoulder pain in such patients (English, Hillier, Stiller, & Warden-Flood, 2007). Thus, it is essential to understand the occurrence of shoulder pain in post-stroke patients and need to evaluate the relationship between stroke and shoulder pain carefully. Further, it can be said that shoulder pain in post-stroke patients might be the result of spatial neglect. However, not much research has been conducted in this area. Although, many experts have tried to establish a correlation between shoulder pain and stroke, not many literatures have focused on the issue of spatial neglect as a reason for shoulder pain in post-stroke patients.
Nonetheless, it is important to study about shoulder pain in such patients as negligence in these cases may result into spasticity or paralysis (Lindgren, 2007). Shoulder pain in post-stroke patientsIt has been found that shoulder pain is a common phenomenon in post-stroke patients. However, such shoulder pain in post-stroke patients differs in their characteristics. Experts believe that around one-third post-stroke patients complain about shoulder pain within the first four months of suffering a stroke attack (Lindgren, Jonsson, Norrving and Lindgren, 2007).
Bohannon et al (1986) and Van Langerberghe & Hogan (1988) found that 72 per cent of the stroke patients suffered from shoulder pain within the first month of the stroke itself. Bohannon et al reviewed the records of 50 consecutive hemiplegic patients, out of which 36 were found suffering from shoulder pain. The study was conducted to find out the relationship between shoulder pain in hemiplegic patients and variables such as age of the patient, occurrence of hemiplegia, spasticity etc.
The study found that shoulder pain and shoulder motion have significant relation with each other. However, the onset of hemiplegia did not have much significance on the shoulder pain. Thus, the study concluded that shoulder pain in hemiplegia patient might be due to adhesive capsulitis. This study provides an alternative view about shoulder pain, which can be applied in the current research, especially focusing on the use of adhesive capsulitis.