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Treatment of shoulder and upper limb pain after stroke: An obstacle course for evidence-based practice

Lookup NU author(s): Dr Christopher Price


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Poststroke upper limb pain (PULP) is common, but overall the outlook is good in the early weeks and if detected early. Individuals presenting with PULP after discharge or more than two months after stroke are more likely to have enduring pain. Patients at risk can often be identified in advance by simple clinical examination. For PULP to be effectively treated, it is vital to recognize and treat mechanical and nonmechanical influences. Future research is needed to consider complex interventions for PULP, the underlying mechanisms, and the reliable assessment of pain amongst subjects with cognitive deficits.

Publication metadata

Author(s): Price CIM

Publication type: Review

Publication status: Published

Journal: Reviews in Clinical Gerontology

Year: 2003

Volume: 13

Issue: 4

Pages: 321-333

ISSN (print): 0959-2598

ISSN (electronic): 1469-9036


DOI: 10.1017/S0959259804001091