Chamila Hettiarachchi1, Philip Conaghan, Alan Tennant, Bipin Bhakta. 1. Academic Department of Rehabilitation Medicine, Section of Musculoskeletal Disease, Leeds Institute of Molecular Medicine University of Leeds, Level D, Martin Wing, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, United Kingdom. chamila@doctors.org.uk
Abstract
OBJECTIVE: To establish the prevalence and patterns of self-reported musculoskeletal symptoms in community-dwelling stroke survivors and their impact on common activities of daily living. METHODS: Analysis of data from two consecutive postal surveys in northern England. Data on overall joint pain, swelling or stiffness and difficulties with daily living tasks were obtained from 16,222 individuals aged ≥ 55 years (a response rate of 86%). Information on stroke-specific impairments was obtained from the 415 individuals who reported a stroke. RESULTS: Forty-seven percent of stroke survivors reported musculoskeletal symptoms. There was a greater prevalence of reported symptoms in the smaller peripheral joints: 23.4% of stroke survivors reported symptoms in the ankle joint compared with 12.3% in the general population aged ≥ 55 years. Although both stroke-specific impairments and musculoskeletal pain contributed to difficulty in functional tasks, the effect of both was more than additive (for example, left hip symptoms increased the risk of having difficulty with standing and walking by 10.3 times (95% confidence interval 1.0, 106.3); stroke affecting the right leg increased the odds by 4.8 times (95% confidence interval 2.5, 9.2). Having both impairments increased the odds by 49.1 times (95% confidence interval 10.7, 225.4)). CONCLUSION: Musculoskeletal symptoms are common in people with stroke and can have a significant additional effect on disability.
OBJECTIVE: To establish the prevalence and patterns of self-reported musculoskeletal symptoms in community-dwelling stroke survivors and their impact on common activities of daily living. METHODS: Analysis of data from two consecutive postal surveys in northern England. Data on overall joint pain, swelling or stiffness and difficulties with daily living tasks were obtained from 16,222 individuals aged ≥ 55 years (a response rate of 86%). Information on stroke-specific impairments was obtained from the 415 individuals who reported a stroke. RESULTS: Forty-seven percent of stroke survivors reported musculoskeletal symptoms. There was a greater prevalence of reported symptoms in the smaller peripheral joints: 23.4% of stroke survivors reported symptoms in the ankle joint compared with 12.3% in the general population aged ≥ 55 years. Although both stroke-specific impairments and musculoskeletal pain contributed to difficulty in functional tasks, the effect of both was more than additive (for example, left hip symptoms increased the risk of having difficulty with standing and walking by 10.3 times (95% confidence interval 1.0, 106.3); stroke affecting the right leg increased the odds by 4.8 times (95% confidence interval 2.5, 9.2). Having both impairments increased the odds by 49.1 times (95% confidence interval 10.7, 225.4)). CONCLUSION:Musculoskeletal symptoms are common in people with stroke and can have a significant additional effect on disability.
Authors: Luciana Mendonça Barbosa; Valquíria Aparecida da Silva; Antônia Lilian de Lima Rodrigues; Diego Toledo Reis Mendes Fernandes; Rogério Adas Ayres de Oliveira; Ricardo Galhardoni; Lin Tchia Yeng; Jefferson Rosi Junior; Adriana Bastos Conforto; Leandro Tavares Lucato; Marcelo Delboni Lemos; Roland Peyron; Luis Garcia-Larrea; Manoel Jacobsen Teixeira; Daniel Ciampi de Andrade Journal: Brain Commun Date: 2022-04-05
Authors: Eun Pyeong Choi; Seong Ju Yang; A Hyun Jung; Hye Su Na; Yeong Ok Kim; Ki Hun Cho Journal: Biomed Res Int Date: 2020-09-23 Impact factor: 3.411