Musculoskeletal and central pain at 1 year post‐stroke: associated factors and impact on quality of life

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Pain is one of the most common and disabling complications of stroke.1 Because the nature of post‐stroke pain is persistent, it may result in fatigue, depression,2 and decreased quality of life (QOL).3 Musculoskeletal pain (MSP), including shoulder pain, is probably the most common type of post‐stroke pain.4 MSP is related to motor dysfunction, spasticity, and restricted range of joint motion.5 Central post‐stroke pain (CPSP) is a neuropathic pain syndrome characterized by constant or intermittent pain or paresthesia in a body part associated with sensory abnormalities.8 Other potential causes of pain include polyneuropathy, decubitus ulcers, and chronic tension headaches.9 Although previous studies have reported the prevalence of, and factors related to, post‐stroke pain, they considered only a certain type of pain5 or a combination of all types of pain.10 Hence, few studies have separately examined CPSP and MSP. The aim of our study was to elucidate any differences between the factors related to MSP and CPSP and their impacts on the patient QOL.

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