Articles Vol. 67 No. 7 26/07/2026

FACTORS ASSOCIATED WITH POST-STROKE SHOULDER PAIN AMONG PATIENTS TREATED AT THE REHABILITATION CENTER OF BACH MAI HOSPITAL IN 2023

Nguyen Thi Hang1,2, Pham Thi Cam Hung1,2, Luong Tuan Khanh3,4, Pham Thi Van1,2, Nguyen Phuong Linh5,6
1 Hai Duong Medical Technical University
2 Trường Đại học Kỹ thuật Y tế Hải Dương
3 Bach Mai Hospital
4 Trung tâm Phục hồi chức năng, Bệnh viện Bạch Mai
5 Geriatrics and Rehabilitation Hospital, Quang Ninh Department of Health
6 Bệnh viện Lão khoa - Phục hồi chức năng, Sở Y tế Quảng Ninh
DOI: 10.52163/yhc.v67i7.5957
31 Views
0 Downloads
Keywords
Post-stroke shoulder pain, stroke, rehabilitation, associated factors.
Abstract

Objective: To identify factors associated with the severity of post-stroke shoulder pain among patients treated at the Rehabilitation Center of Bach Mai Hospital in 2023.

Methods: A cross-sectional descriptive study was conducted on 33 patients with post-stroke shoulder pain from February to May 2023. Shoulder pain severity was assessed using the VAS. Associated factors included age, sex, stroke type, shoulder subluxation/dislocation, proprioceptive impairment, Brunnstrom upper-limb recovery stage, Barthel Index, and shoulder tendon-muscle injuries. Data were analyzed using Fisher’s exact test and Spearman’s correlation coefficient.

Results: Shoulder pain severity was significantly associated with shoulder subluxation/dislocation (p = 0,009) and proprioceptive impairment (rₛ = 0,364; p = 0,037). Pain severity was negatively correlated with Brunnstrom recovery stages (rₛ = -0.447; p = 0.009) and Barthel Index scores (rₛ = -0,583; p < 0,001). No significant associations were found between pain severity and age, sex, stroke type, or shoulder tendon-muscle injuries (p > 0,05).

Conclusion: Post-stroke shoulder pain severity was associated with shoulder subluxation/dislocation and proprioceptive impairment. It was also negatively correlated with upper-limb motor recovery and activities of daily living.

References
[1]
Evidence-Based Review of Stroke Rehabilitation. Hemiplegic shoulder pain and complex regional pain syndrome. Ontario: EBRSR, 2021. Google Scholar
[2]
Cotellessa F, Campanella W, Puce L et al. Clinical and ultrasound evaluation of hemiplegic shoulder pain in stroke patients: a longitudinal observational study starting in the first hours after stroke. Medicina, 2025, 61 (3): 484. doi: 10.3390/medicina61030484 Google Scholar
[3]
Wang B.G, Zeng W.Y, Yang N et al. Related risk factors and etiologies of shoulder pain after stroke in comprehensive stroke unit. Rehabil Med, 2019, 29 (5): 10-14. Google Scholar
[4]
Đặng Thị Thúy Hằng, Nguyễn Thị Hằng, Lương Tuấn Khanh, Nguyễn Phương Lin. Khảo sát kết quả lượng giá chức năng của người bệnh đau vai sau đột quỵ tại Trung tâm Phục hồi chức năng, Bệnh viện Bạch Mai năm 2023. Tạp chí Y học Việt Nam, 2026, 558 (3): 167-171. doi: 10.51298/vmj.v558i3.17201 Google Scholar
[5]
Anwer S, Alghadir A. Incidence, prevalence and risk factors of hemiplegic shoulder pain: a systematic review. Int J Environ Res Public Health, 2020, 17 (14): 4962. Google Scholar
[6]
Yaomei Li, Yang S, Cui L et al. Prevalence, risk factors and outcome in middle-aged and elderly population affected by hemiplegic shoulder pain: an observational study. Front Neurol, 2022, 13: 1041263. doi: 10.3389/fneur.2022.1041263. Google Scholar
[7]
Hao N et al. Risk factors for shoulder pain after stroke: a clinical study. Pak J Med Sci, 2022, 38 (1): 145-149. Google Scholar
[8]
Lin T.Y, Shen P.C et al. Shoulder ultrasound imaging in the post-stroke population: a systematic review and meta-analysis. J Rehabil Med, 2023, 55: jrm13432. doi: 10.2340/jrm.v55.13432. doi: 10.2340/jrm.v55.13432. Google Scholar
[9]
Kim Y.H, Jung S.J, Yang E.J, Paik N.J. Clinical and sonographic risk factors for hemiplegic shoulder pain: a longitudinal observational study. J Rehabil Med, 2014, 46 (1): 81-87. doi: 10.2340/16501977-1238. Google Scholar