Orthopaedic manual physical therapy for post-stroke shoulder pain: two case reports including clinical assessments and participants’ experiences
Objective: To descriptively evaluate Orthopaedic Manual Physical Therapy – a novel intervention for post-stroke shoulder pain – by use of clinical assessments and the participants’ experiences. Design: Two case reports. Methods: Two individuals with mild to moderate upper extremity impairments and...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Medical Journals Sweden
2025-06-01
|
| Series: | Journal of Rehabilitation Medicine - Clinical Communications |
| Subjects: | |
| Online Access: | https://medicaljournalssweden.se/jrm-cc/article/view/43201 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849735697452236800 |
|---|---|
| author | Ingrid Lindgren Arne G. Lindgren Håkan Carlsson Tobias Lundgren Christina Brogårdh |
| author_facet | Ingrid Lindgren Arne G. Lindgren Håkan Carlsson Tobias Lundgren Christina Brogårdh |
| author_sort | Ingrid Lindgren |
| collection | DOAJ |
| description | Objective: To descriptively evaluate Orthopaedic Manual Physical Therapy – a novel intervention for post-stroke shoulder pain – by use of clinical assessments and the participants’ experiences.
Design: Two case reports.
Methods: Two individuals with mild to moderate upper extremity impairments and persistent post-stroke shoulder pain, underwent Orthopaedic Manual Physical Therapy for 12 weeks. The intervention comprised a thorough clinical examination, joint mobilization, stretching, and exercises targeting the affected structures and incorrect movement patterns. Participants were clinically assessed pre- and post-intervention and followed up 4–5 months later. They also answered interviews about their experiences of the intervention and perceived effects.
Results: After Orthopaedic Manual Physical Therapy, both participants showed decreased pain intensity during movements and increased range of motion. One of the participants also experienced decreased resistance to passive movements, improved motor function, grip strength, and upper extremity daily activities after the intervention and at follow-up. Interviews revealed that the participants tolerated the therapy well and were satisfied with the intervention and long-lasting results.
Conclusion: Orthopaedic Manual Physical Therapy may be a useful method to reduce post-stroke shoulder pain in persons with mild to moderate upper extremity paresis after stroke. To confirm the results, further studies are warranted.
|
| format | Article |
| id | doaj-art-b80bdaff7cd542b4a844222e699370fa |
| institution | DOAJ |
| issn | 2003-0711 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine - Clinical Communications |
| spelling | doaj-art-b80bdaff7cd542b4a844222e699370fa2025-08-20T03:07:28ZengMedical Journals SwedenJournal of Rehabilitation Medicine - Clinical Communications2003-07112025-06-01810.2340/jrm-cc.v8.43201Orthopaedic manual physical therapy for post-stroke shoulder pain: two case reports including clinical assessments and participants’ experiencesIngrid Lindgren0https://orcid.org/0000-0002-9910-0380Arne G. Lindgren1https://orcid.org/0000-0003-1942-7330Håkan Carlsson2https://orcid.org/0000-0002-1546-2828Tobias Lundgren3Christina Brogårdh4https://orcid.org/0000-0002-9249-9421Department of Health Sciences, Lund University, Lund, Sweden; Department of Neurology, Rehabilitation Medicine, Memory Disorders and Geriatrics, Skåne University Hospital, Lund, SwedenDepartment of Neurology, Rehabilitation Medicine, Memory Disorders and Geriatrics, Skåne University Hospital, Lund, Sweden; Department of Clinical Sciences Lund, Neurology, Lund University, Lund, SwedenDepartment of Health Sciences, Lund University, Lund, Sweden; Department of Neurology, Rehabilitation Medicine, Memory Disorders and Geriatrics, Skåne University Hospital, Lund, SwedenPalmer Friskvård, Malmö, SwedenDepartment of Health Sciences, Lund University, Lund, Sweden; Department of Neurology, Rehabilitation Medicine, Memory Disorders and Geriatrics, Skåne University Hospital, Lund, SwedenObjective: To descriptively evaluate Orthopaedic Manual Physical Therapy – a novel intervention for post-stroke shoulder pain – by use of clinical assessments and the participants’ experiences. Design: Two case reports. Methods: Two individuals with mild to moderate upper extremity impairments and persistent post-stroke shoulder pain, underwent Orthopaedic Manual Physical Therapy for 12 weeks. The intervention comprised a thorough clinical examination, joint mobilization, stretching, and exercises targeting the affected structures and incorrect movement patterns. Participants were clinically assessed pre- and post-intervention and followed up 4–5 months later. They also answered interviews about their experiences of the intervention and perceived effects. Results: After Orthopaedic Manual Physical Therapy, both participants showed decreased pain intensity during movements and increased range of motion. One of the participants also experienced decreased resistance to passive movements, improved motor function, grip strength, and upper extremity daily activities after the intervention and at follow-up. Interviews revealed that the participants tolerated the therapy well and were satisfied with the intervention and long-lasting results. Conclusion: Orthopaedic Manual Physical Therapy may be a useful method to reduce post-stroke shoulder pain in persons with mild to moderate upper extremity paresis after stroke. To confirm the results, further studies are warranted. https://medicaljournalssweden.se/jrm-cc/article/view/43201strokepost-stroke shoulder painorthopedic manual therapycase reportphysiotherapy |
| spellingShingle | Ingrid Lindgren Arne G. Lindgren Håkan Carlsson Tobias Lundgren Christina Brogårdh Orthopaedic manual physical therapy for post-stroke shoulder pain: two case reports including clinical assessments and participants’ experiences Journal of Rehabilitation Medicine - Clinical Communications stroke post-stroke shoulder pain orthopedic manual therapy case report physiotherapy |
| title | Orthopaedic manual physical therapy for post-stroke shoulder pain: two case reports including clinical assessments and participants’ experiences |
| title_full | Orthopaedic manual physical therapy for post-stroke shoulder pain: two case reports including clinical assessments and participants’ experiences |
| title_fullStr | Orthopaedic manual physical therapy for post-stroke shoulder pain: two case reports including clinical assessments and participants’ experiences |
| title_full_unstemmed | Orthopaedic manual physical therapy for post-stroke shoulder pain: two case reports including clinical assessments and participants’ experiences |
| title_short | Orthopaedic manual physical therapy for post-stroke shoulder pain: two case reports including clinical assessments and participants’ experiences |
| title_sort | orthopaedic manual physical therapy for post stroke shoulder pain two case reports including clinical assessments and participants experiences |
| topic | stroke post-stroke shoulder pain orthopedic manual therapy case report physiotherapy |
| url | https://medicaljournalssweden.se/jrm-cc/article/view/43201 |
| work_keys_str_mv | AT ingridlindgren orthopaedicmanualphysicaltherapyforpoststrokeshoulderpaintwocasereportsincludingclinicalassessmentsandparticipantsexperiences AT arneglindgren orthopaedicmanualphysicaltherapyforpoststrokeshoulderpaintwocasereportsincludingclinicalassessmentsandparticipantsexperiences AT hakancarlsson orthopaedicmanualphysicaltherapyforpoststrokeshoulderpaintwocasereportsincludingclinicalassessmentsandparticipantsexperiences AT tobiaslundgren orthopaedicmanualphysicaltherapyforpoststrokeshoulderpaintwocasereportsincludingclinicalassessmentsandparticipantsexperiences AT christinabrogardh orthopaedicmanualphysicaltherapyforpoststrokeshoulderpaintwocasereportsincludingclinicalassessmentsandparticipantsexperiences |