Percorrer por autor "Lopes, Sofia Pinheiro"
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- Impact of shoulder pain on upper limb function: An observational study in post-strokePublication . Lopes, Sofia Pinheiro; Fernandes, ÂngelaShoulder pain in the hemiplegic upper limb is a frequent complication after stroke, with negative effects on functionality and quality of life. To analyze the impact of shoulder pain on upper limb functionality in post-stroke individuals, considering pain, motor, and functional parameters. An observational cross-sectional study was conducted in a rehabilitation service of a hospital in northern Portugal. Twenty-nine individuals with post-stroke shoulder pain participated. Pain severity and interference were assessed using the Brief Pain Inventory. Muscle tone was measured with the Modified Ashworth Scale, motor performance with the Fugl-Meyer Assessment, functional independence with the Functional Independence Measure, grip strength with a dynamometer, and manual dexterity with the Jebsen-Taylor Hand Function Test and the Box and Block Test. The mean pain severity score was 4,82 (standard deviation 1,72). Pain severity correlated strongly with pain interference, but not with motor or functional outcomes. Motor performance correlated positively with functional independence and grip strength, and negatively with muscle tone. Participants more than two years post-stroke showed poorer motor and functional results. Stroke type influenced pain interference, with higher values in ischemic patients. No sex differences were observed. Motor impairment and increased muscle tone were the main determinants of functional independence. Rehabilitation should prioritize motor recovery and tone control, while pain management may provide complementary benefits.