INDOJOURNALPMRINDOJOURNALPMR

Indonesian Journal of Physical Medicine and RehabilitationIndonesian Journal of Physical Medicine and Rehabilitation

Introduction: Hemiplegic shoulder pain (HSP) is a frequent complication in stroke survivors, negatively impacting rehabilitation and overall quality of life. HSP can make it hard to do everyday things, which can make patient anxious, stressed, and depressed because of muscle pain, spasticity, and less ability to do things. This study aims to clarify the correlation between shoulder pain intensity and clinical variables, also to evaluate the efficacy of Goal Attainment Scaling (GAS) in facilitating patients achievement of rehabilitation goals following intervention.. . Methods: This cross-sectional study collected data from post-stroke patients with HSP at the Neurorehabilitation Department of Hasan Sadikin Hospital over a one-year period. The demographics of the patients (age, sex), clinical measure such as Range of Motion (ROM), Motor Assessment Scale (MAS), Brunnstrom stage, Manual Muscle Test (MMT), Depression Anxiety Stress Scales (DASS), Scale of Pain Intensity (SPIN), and Goal Attainment Scaling (GAS), were carefully recorded.. . Results: Pain during movement was considerably greater than pain at rest (3.3±0.9 vs 3.0±1.3; p<0.05). GAS analysis indicated improvements following to the rehabilitation program (37.2±0.44 vs 52.6±0.4; p<0.05). A significant correlation was identified only in DASS Depression scores (r=0.55; p<0.05), when other variables shown no significant correlation.

Hemiplegic shoulder pain (HSP) demonstrates greater intensity during movement and a moderate correlation with depression.A significant enhancement in Goal Attainment Scaling (GAS) scores following intervention confirms the crucial role of goal-oriented rehabilitation in improving functional outcomes for post-stroke HSP patients.Further research with larger sample sizes is recommended to strengthen the statistical correlations among clinical variables.

Berdasarkan temuan penelitian ini, beberapa saran penelitian lanjutan dapat dipertimbangkan. Pertama, penelitian lebih lanjut dengan melibatkan jumlah partisipan yang lebih besar diperlukan untuk memperkuat korelasi statistik antara variabel klinis dan intensitas nyeri bahu hemiplegia. Kedua, studi komparatif yang membandingkan efektivitas intervensi rehabilitasi yang berbeda, seperti terapi manual, latihan penguatan, dan stimulasi saraf, dapat memberikan wawasan tentang pendekatan pengobatan yang paling optimal. Ketiga, penelitian prospektif yang melacak perkembangan pasien dalam jangka waktu yang lebih lama akan membantu memahami dampak jangka panjang dari rehabilitasi berbasis tujuan terhadap kualitas hidup dan fungsi fisik pasien pasca-stroke dengan nyeri bahu hemiplegia. Penelitian-penelitian ini diharapkan dapat memberikan kontribusi signifikan dalam pengembangan strategi rehabilitasi yang lebih efektif dan personalisasi untuk meningkatkan hasil klinis pasien.

Read online
File size364.96 KB
Pages7
DMCAReport

Related /

ads-block-test