Evaluation of Shoulder Pain, Depression and Sleep Quality in Hemiplejic Patients
2020
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.
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