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Incidence, Prevalence, and Risk Factors of Hemiplegic Shoulder Pain: A Systematic Review

Author

Listed:
  • Shahnawaz Anwer

    (Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia
    Department of Building and Real Estate, Hong Kong Polytechnic University, Kowloon, Hong Kong)

  • Ahmad Alghadir

    (Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia)

Abstract

The current systematic review aimed to investigate the incidence, prevalence, and risk factors causing hemiplegic shoulder pain (HSP) after stroke. Two independent authors screened titles and abstracts for the eligibility of the included studies in the electronic databases PubMed and Web of Science. Studies which reported the incidence, prevalence, and risk factors of HSP following stroke were included. The included studies were assessed using the Newcastle–Ottawa Scale for evaluating the quality of nonrandomized studies in meta-analyses. Eighteen studies were included in the final synthesis. In all studies, the number of patients ranged between 58 and 608, with the mean age ranging from 58.7 to 76 years. Seven included studies were rated as “good “quality, while one study rated “fair” and 10 studies rated “poor” quality. Eight studies reported incidence rate while 11 studies reported the prevalence of HSP following a stroke. The incidence of HSP was ranging from 10 to 22% in the metanalysis of the included studies. The prevalence of HSP was ranging from 22 to 47% in the metanalysis of the included studies. The most significant predictors of HSP were age, female gender, increased tone, sensory impairment, left-sided hemiparesis, hemorrhagic stroke, hemispatial neglect, positive past medical history, and poor National Institutes of Health Stroke Scale score. The incidence and prevalence of HSP after stroke vary considerably due to various factors. Knowledge of predictors is important to minimize the risk of developing HSP following a stroke.

Suggested Citation

  • Shahnawaz Anwer & Ahmad Alghadir, 2020. "Incidence, Prevalence, and Risk Factors of Hemiplegic Shoulder Pain: A Systematic Review," IJERPH, MDPI, vol. 17(14), pages 1-21, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:14:p:4962-:d:382524
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    Cited by:

    1. Pieter Struyf & Lisa Tedesco Triccas & Fabienne Schillebeeckx & Filip Struyf, 2023. "The Place of Botulinum Toxin in Spastic Hemiplegic Shoulder Pain after Stroke: A Scoping Review," IJERPH, MDPI, vol. 20(4), pages 1-12, February.
    2. Min Gyun Kim & Seung Ah Lee & Eo Jin Park & Min Kyu Choi & Ji Min Kim & Min Kyun Sohn & Sung Ju Jee & Yeong Wook Kim & Jung Eun Son & Seo Jun Lee & Keum Sun Hwang & Seung Don Yoo, 2022. "Elastic Dynamic Sling on Subluxation of Hemiplegic Shoulder in Patients with Subacute Stroke: A Multicenter Randomized Controlled Trial," IJERPH, MDPI, vol. 19(16), pages 1-12, August.

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