American journal of physical medicine & rehabilitation
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Am J Phys Med Rehabil · Sep 2011
ReviewUnderlying pathology and associated factors of hemiplegic shoulder pain.
The prevalence of hemiplegic shoulder pain is approximately 22%-23% in the general population of stroke survivors and approximately 54%-55% among stroke patients in rehabilitation settings. Hemiplegic shoulder pain causes a reduced quality-of-life, poor functional recovery, depression, disturbed sleep, and prolonged hospitalization. Herein, we attempted to understand, based on a literature review and experts' opinion, the pathologic processes underlying hemiplegic shoulder pain and the major associated factors contributing to its development. The systematization of underlying pathologies was proposed, which might eventually enable a more constructive clinical approach in evaluating and treating patients with hemiplegic shoulder pain.
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Am J Phys Med Rehabil · Sep 2011
Catastrophizing, pain, and pain interference in individuals with disabilities.
The aim of this study was to examine the influence of sex and disability on catastrophizing, pain intensity, and pain interference in individuals with a spinal cord injury or multiple sclerosis. ⋯ These findings are consistent with a biopsychosocial conceptualization of pain and functioning in individuals with chronic pain secondary to a physical disability. In addition, these data suggest that assessment and treatment (when indicated) of catastrophizing should be a regular part of the clinical management of these patients.
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Am J Phys Med Rehabil · Sep 2011
Editorial Historical ArticleMechanical ventilation, paradigm shifts, and the prefrontal cortex.