What Is The Prevalence And Characteristics Of Chronic Pain Among Stroke Survivors Within The First Two Years Post-Stroke ? : A Systematic Review
Keywords:
Chronic pain, stroke survivors, prevalence, rehabilitation, pain managementAbstract
Introduction: Chronic pain is a prevalent and debilitating issue among stroke survivors, significantly affecting their quality of life and rehabilitation outcomes. This study aims to evaluate the prevalence and characteristics of chronic pain within the first two years post-stroke. Methods: A systematic review adhering to PRISMA guidelines was conducted, focusing on studies that included adult stroke survivors within 24 months post-stroke and assessed chronic pain lasting more than three months. Data extraction involved analyzing study designs, participant characteristics, pain prevalence, assessment methods, and treatment approaches. Results: The analysis of 40 studies revealed a wide variability in chronic pain prevalence among stroke survivors, ranging from 19.4% to 100%. Common pain types included shoulder pain (62.3%) and spasticity-related pain (74.3%). Pain assessment primarily utilized the Visual Analog Scale (VAS) and Numerical Rating Scale (NRS), with reported pain intensities varying significantly. Discussion: Chronic pain in stroke survivors often leads to reduced functionality and impaired quality of life. The complexity of pain, including central post-stroke pain and complex regional pain syndrome, necessitates a multidisciplinary approach to management. Psychological factors such as depression further complicate pain experiences, highlighting the need for integrated care strategies. Conclusion: Addressing chronic pain in stroke survivors requires a comprehensive understanding of its prevalence, characteristics, and treatment options. Future research should focus on developing standardized assessment tools and effective, personalized treatment protocols to enhance rehabilitation outcomes.
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