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Managing painful shoulder after neurological injury

Lakra, Celine; Higgins, Rachel; Beare, Benjamin; Farrell, Rachel; Ajina, Sara; Burns, Sophia; Lee, Marcus; (2023) Managing painful shoulder after neurological injury. Practical Neurology , 23 (3) pp. 229-238. 10.1136/pn-2022-003576. Green open access

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Abstract

Shoulder pain is common after neurological injury and can be disabling, lead to poor functional outcomes and increase care costs. Its cause is multifactoral and several pathologies contribute to the presentation. Astute diagnostic skills and a multidisciplinary approach are required to recognise what is clinically relevant and to implement appropriate stepwise management. In the absence of large clinical trial data, we aim to provide a comprehensive, practical and pragmatic overview of shoulder pain in patients with neurological conditions. We use available evidence to produce a management guideline, taking into account specialty opinions from neurology, rehabilitation medicine, orthopaedics and physiotherapy.

Type: Article
Title: Managing painful shoulder after neurological injury
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/pn-2022-003576
Publisher version: http://dx.doi.org/10.1136/pn-2022-003576
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: CENTRAL POSTSTROKE PAIN, Clinical Neurology, CLINICAL NEUROLOGY, DIAGNOSIS, FROZEN SHOULDER, HEMIPLEGIA, IMPAIRMENTS, Life Sciences & Biomedicine, MANAGEMENT, Neurosciences & Neurology, PAIN, POPULATION, PREVALENCE, REHABILITATION, SCALE, Science & Technology, STROKE, STROKE PATIENTS, SUBLUXATION
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Imaging Neuroscience
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Department of Neuromuscular Diseases
URI: https://discovery.ucl.ac.uk/id/eprint/10200324
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