Международный журнал физической медицины и реабилитации
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Evaluation of Shoulder Pain, Depression and Sleep Quality in Hemiplejic Patients

Seide Karasel*

Background: The aim of the study was to evaluate Hemiplegic Shoulder Pain (HSP), depression and sleep quality in hemiplegic patients.

Methods: The research is a cross-sectional study conducted between 2018-2019 in Famagusta State Hospital. In the scope of the study, patients with hemiplegia who applied to the physical therapy and rehabilitation clinic were included consecutively. Clinical evaluations of the patients were performed and the parameters examined were as follows: age, gender, duration of hemiplegia diagnosis (weeks), education level, shoulder pain, Computerized Tomography (CT) results, family support status, and antidepressant, anxiolytic and antipsychotic drug use. The Pittsburgh Sleep Quality Index, Brunnstrom motor staging, Functional Ambulation Categories, Beck Depression Inventory were also applied to the patients.

Results: The frequency of HSP in the study group was found to be 20% (n=10). No relationship was found between having shoulder pain in patients diagnosed with hemiplegia and parameters such as age, gender, hemiplegia duration, education level, family support, CT result, depression, sleep quality, ambulation status, and the use of antidepressants, anxiolytics or antipsychotics. It was found that those with HSP had significantly worse motor functions. In the univariate logistic regression analysis performed to elucidate the factors affecting sleep quality, it was found that none of the factors examined had an effect on sleep quality. In the multivariate logistic regression analysis including age, female gender, lack of family support, worsening of Brunnstrom upper extremity, lower extremity and hand motor functions, poor ambulation and poor sleep quality (which were found to be effective on depression with univariate logistic regression analysis), the absence of family support and higher score from the sleep quality scale were found to be associated with higher level of depression.

Conclusion: As a result of the analyses, shoulder pain was not found to be associated with depression and sleep quality in hemiplegic patients. Lack of family support and poor sleep quality were the factors that independently increased the risk of depression in hemiplegic patients.