Management of post-stroke pain

Authors

  • Posai V Nursing Division, Ministry of Public Health, Nonthaburi, Thailand

Keywords:

Pain, Stroke Patient, Pain Management

Abstract

Pain is defined as an unpleasant sensory and emotional experience associated with actuality or potential tissue damage. It is a complicated issue and results from an individual’s experience, making different pain conditions among individuals. Stroke patients are revealed that the pain is from damaged brain tissues caused by an ischemic stroke and brain hemorrhages, physiological change, and disability after the stroke. It is a frequently found trouble and persists in hurting the patients physically, emotionally, psychosocially, and spiritually. Thus, pain management and effective care are substantial. Pain management consists of accurate pain examination and evaluation by standardized instruments for accurate information and practical pain relief methods, serving the needs of patients and their families. This article concludes the frequent pain symptoms found in stroke patients, pain effect, pain evaluation, and holistic pain management for effective stroke patient care.

References

Furie K. Epidemiology and primary prevention of stroke. Continuum (Minneap Minn). 2020; 26:260-7.

Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, et al. Heart disease and stroke statistics-2020 update: a report from the American Heart Association. Circulation. 2020;141:e139-596.

Areechokchai D, Vijitsoonthornkul K, Pongpan S, Maeakhian S. Population attributable fraction of stroke risk factors in Thailand: utilization of non-communicable disease surveillance systems. Outbread, surveillance & Investigation Reports. 2017;10:1-6.

Anwer S, Alghadir A. Incidence, prevalence, and risk factors of hemiplegic shoulder pain: a systematic review. Int J Environ Res Public Health. 2020;17:4962.

Posai V, Jitpanya C. A component analysis of palliative care for stroke patient. J Med Health Sci. 2020;27:63-76.

Posai V. A study of palliative care for stoke patients. Bangkok, Bangkok: Chulalongkorn University; 2019.

Westerlind E, Singh R, Persson HC, Sunnerhagen KS. Experienced pain after stroke: a cross-sectional 5-year follow-up study. BMC Neurol. 2020;20:4.

Tang SC, Lee LJH, Jeng JS, Hsieh ST, Chiang M-C, Yeh S-J, et al. Pathophysiology of central poststroke pain. Stroke. 2019;50:2851-7.

Kumar B, Kalita J, Kumar G, Misra UK. Central poststroke pain: a review of pathophysiology and treatment. Anesth Analg. 2009;108:1645-57.

Klit H, Finnerup NB, Jensen TS. Central post-stroke pain: clinical characteristics, pathophysiolo-gy, and management. Lancet Neurology. 2009;8: 857-68.

Zhu Y, Su B, Li N, Jin H. Pain management of hemiplegic shoulder pain post stroke in patients from Nanjing, China. Neural Regen Res. 2013;8: 2389-98.

Lindgren I, Jönsson A-C, Norrving B, Lindgren A. Shoulder pain after stroke. Stroke. 2007;38:343-8.

Kumar P. Hemiplegic shoulder pain in people with stroke: present and the future. Pain Manag. 2019;9:107-10.

Kuo C-L, Hu G-C. Post-stroke spasticity: a review of epidemiology, pathophysiology, and treatments. Int J Gerontol. 2018;12: 280-4.

Trompetto C, Marinelli L, Mori L, Pelosin E, Currà A, Molfetta L, et al. Pathophysiology of spasticity: implications for neurorehabilitation. Biomed Res Int. 2014;2014:354906.

Ahmadi Aghangar A, Bazoyar B, Mortazavi R, Jalali M. Prevalence of headache at the initial stage of stroke and its relation with site of vascular involvement: a clinical study. Caspian J Intern Med. 2015;6:156-60.

Harriott AM, Karakaya F, Ayata C. Headache after ischemic stroke. a systematic review and meta-analysis. Neurology. 2020;94:e75-86.

Lu J, Liu W, Zhao H. Headache in cerebrovascular diseases. Stroke Vasc Neurol. 2020;5:205-10.

Payton H, Soundy A. The experience of post-stroke pain and the impact on quality of life: an integrative review. Behav Sci (Basel). 2020; 10:128.

Treister AK, Hatch MN, Cramer SC, Chang EY. Demystifying poststroke pain: from etiology to treatment. PM R. 2017;9:63-75.

Şahin-Onat Ş, Ünsal-Delialioğlu S, Kulaklı F, Özel S. The effects of central post-stroke pain on quality of life and depression in patients with stroke. J Phys Ther Sci. 2016;28:96-101.

de Vries NJ, Sloot PH, Achterberg WP. Pain and pain assessment in stroke patients with aphasia: a systematic review. Aphasiology. 2017;31: 703-19.

Nesbitt J, Moxham S, Ramadurai G, Williams L. Improving pain assessment and managment in stroke patients. BMJ Qual Improv Rep. 2015;4:u203375.w3105.

Kitisomprayoonkul W, Klaphajone J, Kovindha A. Thai short-form McGill pain questionnaire. J Med Assoc Thai. 2006;89:846-53.

Chaudakshetrin P. Validation of the Thai version of brief pain inventory (BPI-T) in cancer patients. J Med Assoc Thai. 2009;92:34-40.

Pandian JD, Kaur P, Arora R, Vishwambaran DK, Toor G, Mathangi S, et al. Shoulder taping reduces injury and pain in stroke patients. Neurology. 2013;80:528-32.

Shin DS, Song R, Shin EK, Seo SJ, Park JE, Han SY, et al. Effects of passive upper arm exercise on range of motion, muscle strength, and muscle spasticity in hemiplegic patients with cerebral vascular disease. J Korean Acad Nurs. 2012;42:783-90.

Li S, Shin H, Zhou P, Li X. Different effects of cold stimulation on reflex and non-reflex components of poststroke spastic hypertonia. Front Neurol. 2017;8:169.

Monaghan K, Horgan F, Blake C, Cornall C, Hickey PPM, Lyons BE, et al. Physical treatment interventions for managing spasticity after stroke. Cochrane Database Syst Rev. 2017; 2017:CD009188.

Lämås K, Häger C, Lindgren L, Wester P, Brulin C. Does touch massage facilitate recovery after stroke? A study protocol of a randomized controlled trial. BMC Complement Altern Med. 2016;16:50.

Marcolino M, Hauck M, Stein C, Schardong J, Pagnussat A, Plentz RDM. Effects of transcutaneous electrical nerve stimulation alone or as additional therapy on chronic post-stroke spasticity: systematic review and meta-analysis of randomized controlled trials. Disabil Rehabil. 2018;42:1-13.

Xu X-M, Luo H, Rong B-b, Zheng X-M, Wang F-t, Zhang S-J, et al. Nonpharmacological therapies for central poststroke pain: a systematic review. Medicine. 2020;99:e22611.

Cruccu G, Truini A. A review of neuropathic pain: from guidelines to clinical practice. Pain Ther. 2017;6(Suppl 1):35-42.

Creutzfeldt CJ, Holloway RG, Walker M. Symptomatic and palliative care for stroke survivors. J Gen Intern Med. 2012;27:853-60.

Deng Y, Luo L, Hu Y, Fang K, Liu J. Clinical practice guidelines for the management of neuropathic pain: a systematic review. BMC Anesthesiol. 2016;16:12.

Huang WS, Muo CH, Chang SN, Chang YJ, Tsai CH, Kao CH. Benzodiazepine use and risk of stroke: a retrospective population-based cohort study. Psychiatry Clin Neurosci. 2014;68:255-62.

Gupta AD, Chu WH, Howell S, Chakraborty S, Koblar S, Visvanathan R, et al. A systematic review: efficacy of botulinum toxin in walking and quality of life in post-stroke lower limb spasticity. Syst Rev. 2018;7:1.

Holloway RG, Arnold RM, Creutzfeldt CJ, Lewis EF, Lutz BJ, McCann RM, et al. Palliative and end-of-life care in stroke: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014;45:1887-916.

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Published

2021-10-01

How to Cite

1.
V P. Management of post-stroke pain. BSCM [Internet]. 2021 Oct. 1 [cited 2024 Dec. 21];60(4):841-54. Available from: https://he01.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/248595

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Section

Review Article