Effectiveness of caregiver education for prevention of shoulder pain in acute stroke survivors: A randomised controlled trial

Raj, Jerome Dany Praveen and D’souza, Anita Sebestina and Sitaram, Amith and Umakanth, Shashikiran (2021) Effectiveness of caregiver education for prevention of shoulder pain in acute stroke survivors: A randomised controlled trial. Asia Pacific Disability Rehabilitation Journal, 32 (1). pp. 66-80. ISSN 1029-4414

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Purpose: This study aimed to determine the effectiveness of caregiver education to prevent or reduce hemiplegic shoulder pain, a complication following stroke that adversely affects functional outcomes and prolongs rehabilitation. Method: The study was a randomised controlled trial involving acute stroke survivors in the hospital and their primary caregivers. The participants were conveniently selected and randomly allocated to the experimental (n = 20) and control groups (n = 20) using block randomisation. The stroke survivors of both the study groups received conventional therapy. In the experimental group, caregivers participated in three individual sessions of the education programme for shoulder care, which comprised provision of information, demonstration and training. The outcome measures at pre-assessment were the Visual Analogue Scale (VAS) for shoulder pain and the Fugyl-Meyer Assessment for Upper Extremity for Motor Recovery. Caregiver feedback scores were obtained following the intervention. The VAS scores were obtained at 30 days following intervention and 30 days following post-assessment (follow-up assessment) through the posted envelopes. Mann-Whitney U test and Chi- square test were used for statistical analysis. Results: There was no significant difference between the groups on VAS at follow-up assessment. The number of stroke survivors reporting “no pain” increased by 29% in the experimental group and decreased by 6% in the control group. Caregiver feedback scores were higher in the experimental group than in the control group (P < 0.001). Conclusion: This study indicates that educating caregivers on shoulder care during acute management at the hospital, improves their confidence in handling and positioning the stroke survivor after discharge and could reduce hemiplegic shoulder pain.

Item Type: Article
Uncontrolled Keywords: Stroke; hemiplegic shoulder pain; subluxation; DEDICT; caregiver education.
Subjects: Allied Health > MCOAHS Manipal > Occupational Therapy
Medicine > KMC Manipal > Medicine
Medicine > KMC Manipal > Neurology
Depositing User: KMC Library
Date Deposited: 08 Sep 2021 10:35
Last Modified: 08 Sep 2021 10:35
URI: http://eprints.manipal.edu/id/eprint/157244

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