Post-stroke HSP has been associated with poor rehabilitation outcomes, prolonged hospital stay and delayed functional recovery 9. In addition, it can disturb sleep which negatively impacts quality of life 8. The presence of post-stroke HSP can restrict the individual's execution of activities such as eating, grooming, dressing, transfers and rolling in bed. The main causes and presentation of HSP have shown to be multifactorial and can include shoulder subluxation, shoulder-hand syndrome, abnormalities in muscle tone, rotator cuff injuries, frozen shoulder, altered sensation, central post-stroke pain and pre-existing pathological conditions including but not limited to, arthritis 7. Pain and loss of range of motion are key indicators 7.
reported that diagnosing HSP is complex and should be done clinically based on signs and symptoms. Secondary complications of a stroke, such as hemiplegic shoulder pain (HSP), interfere significantly with the return of limb voluntary movement and control, and the engagement of the affected extremities in daily occupations 6. This number may be far higher than the prevailing rate due to the rise of non-communicable diseases' prevalence rates and neurological complications which follow HIV infection 4,5. Matenga 2 estimated the stroke incidence rate in the capital city Harare to be at a standardised rate of 68 per 100 000. Stroke is one of the leading non-communicable diseases causing premature death and disability in Zimbabwe 4. highlighted that the incidence of stroke in low to middle-income countries more than doubled considering data from 56 population-based studies between 19 in their systematic review, which also highlighted a 42% decrease in stroke incidence in high-income countries 3. Globally stroke is a leading cause of death and disability-adjusted life years 1,2. Keywords: public health care, occupational therapy intervention, clinical practice, neurological upper limb conditions Intervention should strive to be occupation-based and holistic encompassing considerations of environmental factors and the indicators of HSP RESULTS: Data analysis revealed three themes, i.e., assessment of post-stroke HSP is all encompassing key components of post-stroke HSP treatment practice and challenges in occupational therapy practice of post-stroke HSP in HarareĬONCLUSION: Occupational therapy intervention practice for post-stroke HSP in Harare includes an eclectic approach, with preventative practices as a key component of treatment. Data were collected through semi-structured interviews and analysed using qualitative content analysis METHOD: This explorative study included six experienced occupational therapists from three public hospitals in Harare, Zimbabwe. To allow for an increased understanding of HSP management, this study explored occupational therapists' assessment and treatment practices of post-stroke HSP in Harare, Zimbabwe There is a lack of documented evidence on occupational therapy intervention practices (i.e., assessment and treatment) of HSP in the context of Harare, Zimbabwe. Occupational therapy intervention, comprising assessment and treatment, seeks to promote health and well-being through facilitating improvement in occupational engagement. Hemiplegie shoulder pain (HSP), a secondary complication of stroke, impedes the functional recovery of the upper limb and occupational engagement. īACKGROUND: Stroke is a leading cause of disability in Zimbabwe. OT (UZ), M OT(SU) Senior Occupational therapist, Keetmanshoop Hospital, Ministry of Health and Social Services, Namibia. IIB OT (SU), DHT (UP), M OT (SU) Senior Lecturer, Division of Occupational Therapy, Dept of Health and Rehabilitation Sciences, Stellenbosch University, South Africa. Senior Lecturer, Division of Occupational Therapy, Dept of Health and Rehabilitation Sciences, Stellenbosch University, South Africa
Lee-Ann Juliana Jacobs-Nzuzi Khuabi I, * Susan de Klerk II Mary Tapfuma III Occupational Therapy Intervention for Hemiplegie Shoulder Pain in Adults Post-Stroke: A Zimbabwean Perspective
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