Ombro doloroso após lesão cerebral

O ombro doloroso (OD) apos acidente vascular encefalico (AVE) e frequentemente investigado. Entretanto, sua prevalencia apos outros tipos de lesao cerebral permanece desconhecida. Os objetivos deste estudo foram identificar a prevalencia de OD apos diferentes tipos de lesoes cerebrais, os fatores associados a essa condicao em pacientes admitidos na reabilitacao e investigar a associacao entre suas caracteristicas clinicas. Foram avaliados os prontuarios do universo de pacientes (n = 109) com diagnostico clinico e imaginologico de LC admitidos no periodo de um ano para tratamento em um hospital da rede publica de saude de Minas Gerais. Itens como, idade, genero, etiologia da lesao, tempo de lesao, deficiencia fisica, ombro acometido, tonus muscular, subluxacao glenoumeral, amplitude de movimento (ADM) e distrofia simpatico-reflexa (DSR) foram incluidos neste estudo. A prevalencia de ombro doloroso foi de 52,29 por cento. Dentre os fatores previamente relacionados, apenas o tempo de lesao em meses, espasticidade grau 1 na escala de Ashworth, limitacao da ADM e subluxacao glenoumeral apresentaram associacao significativa com essa complicacao. As manifestacoes clinicas identificadas nos prontuarios com registro de OD apresentaram significância apenas para a associacao do tipo de tonus muscular com o grau de tonus e a ADM. The painful shoulder after stroke is often investigated. However, its prevalence after other types of brain injury remains unknown. The objectives of this study were to identify the prevalence of painful shoulder after different types of brain injury, the factors associated with this condition in patients admitted to the rehabilitation and investigate the association between its clinical features. The records were evaluated of the universe of patients (n = 109) with clinical and imaginologic diagnosis of brain injury admitted within a year for treatment at a general hospital of Minas Gerais. Items such as age, gender, etiology and time of injury, disability, affected shoulder, muscle tone, glenohumeral subluxation, range of motion and reflex sympathetic dystrophy were included in this study. The prevalence of shoulder pain was 52.29 percent. Among the factors previously listed, only the time of injury in months, spasticity grade 1 on the scale of Ashworth, limitation of range of motion and glenohumeral subluxation showed significant association with this complication. Clinical manifestations identified in records with shoulder painful had significance only for the combination of the type of tone to the degree of muscle tone and range of motion.