The principal approaches to the treatment of post-stroke shoulder pain syndrome
Bondarenko, F.V.; Makarova, M.R.; Turova, E.A.
Voprosy Kurortologii Fizioterapii i Lechebnoi Fizicheskoi Kultury 5: 50-55
2014
ISSN/ISBN: 0042-8787 PMID: 25536759 Document Number: 673567
Post-stroke pain syndrome is one of the serious complications of stroke preventing the restoration of motor activity, routine everyday and professional independence of the patients. This review is focused on pathogenesis of central and peripheral shoulder pain syndromes on the affected side of the body and the principal approaches to their treatment during the post-stroke recovery period. The paper describes the main manual and robotic methods for the treatment of shoulder pain depending on its pathogenesis and the typical therapeutic protocols. The special emphasis is laid on the necessity of the pathogenetic approach to the pain alleviation as well as clinical significance of the correction of biomechanical disorders in the upper body and the restoration of the functional ability of the upper limbs in the patients presenting with post-stroke hemiparesis associated with pain syndrome.