Praveen Kumar (United Kingdom)
University of the West of England
School of Health and Social Wellbeing
Dr Praveen Kumar is a Senior Lecturer in Physiotherapy at the University of the West of England (UWE), Bristol. Praveen completed his BSc Physiotherapy from Mangalore University, India in 1995 and joined Apollo Multi-speciality Hospital, Hyderabad to work as a clinical physiotherapist. In 1998, Praveen went to Queen Margaret University, Edinburgh to pursue his Master in Physiotherapy. After gaining his masters, Praveen worked in India as a Vice-Principal at the Swantara Institute of Physical Medicine and Rehabilitation, AP and then as Principal (in-charge) at the College of Physiotherapy, Durgabai Deshmukh Hospital, Hyderabad. Praveen joined UWE in 2003 as lecturer / Senior lecturer in physiotherapy. Praveen completed his PhD from UWE in 2012. Currently, Praveen is the Board member for Publication and Knowledge Dissemination (Association of Chartered Physiotherapists in Neurology), Editor for Synapse - Official Journal of ACPIN. My research interests lies in stroke rehabilitation and includes upper limb problems (shoulder pain, subluxation, weakness), physical activity, group exercises, telerehabilitation and robotics in rehabilitation.

Presenter of 1 Presentation

 Conference Calendar

RISK AND ASSOCIATED FACTORS FOR HEMIPLEGIC SHOULDER PAIN IN PEOPLE WITH STROKE: A SYSTEMATIC LITERATURE REVIEW

Session Name
0310 - Stroke Rehabilitation and Recovery (ID 102)
Session Type
Oral Presentations
Date
27.10.2021, Wednesday
Session Time
12:00 - 13:00
Room
ORAL PRESENTATIONS 1
Presenter
Lecture Time
12:40 - 12:50

Abstract

Background and Aims

Hemiplegic shoulder pain (HSP) is reported in up to 47% of people with stroke. Since the development of the national guidelines for stroke, the management of HSP has evolved. The aim of this systematic literature review was to explore the risk and associated factors for HSP for studies published in the last 15 years.

Methods

A systematic online search was conducted of CINAHL, AMED, MEDLINE and the Cochrane Library databases using appropriate keywords. The search was supplemented by hand searching of relevant journals and citation tracking of the retrieved papers. All primary studies published in English language fulfilling the review’s inclusion criteria were included. Five reviewers extracted the data and independently appraised the methodological quality of the selected studies. Any discrepancies were resolved following discussions.

Results

Of the 50 articles that were identified, 21 studies met the criteria. The common risk factors for HSP were: Poor motor function (odds ratio (OR) ranging from 0.58-3.19; 95% confidence interval (CI), 1.1-7.7); glenohumeral subluxation (OR ranging from 2.48-3.5, 95% CI 1.38-9.37) and reduced range of movement at the shoulder (OR 0.14-4.46, 95% CI 0.99-64).

Conclusions

Despite methodological flaws, complete loss of motor function in the affected arm and glenohumeral subluxation have been recognized as significant risk factors for HSP. Further rigorously designed research studies are required. The best way to prevent HSP, based upon current evidence, is to strengthen shoulder rotator cuff muscles and improve motor control around the shoulder region. In addition, education to both the caregivers and patients is critical.

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