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June 4, 2026Journal of Neurologic Physical Therapy

Efficacy of Physical Modalities for Hemiplegic Shoulder Pain After Stroke: A Systematic Review

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Authors

SSStefania SpinaSFSalvatore FacciorussoMDMilena Carmela D’Ascanio

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Overview

Systematic review evaluates physical modalities for post-stroke hemiplegic shoulder pain, suggesting potential benefits.

Key Points

  • This review aims to assess the efficacy and safety of physical modalities for managing hemiplegic shoulder pain after stroke.
  • Systematic review following Cochrane Guidelines, including RCTs comparing physical modalities with sham or standard care.
  • Primary outcome focused on pain reduction; secondary outcomes included functional mobility and quality of life.
  • Search conducted across multiple databases up to July 30, 2025.
  • Twelve RCTs with 567 participants included; most studies reported significant pain reduction versus control.
  • Electrotherapy exhibited sustained analgesia; shock wave therapy improved structural issues and pain; laser therapy enhanced pain and function.
  • Adverse events were generally mild, but safety conclusions are limited by inconsistent reporting.

Cite This Study

Spina et al. (2026) studied this question.

synapsesocial.com/papers/6a211670d499ed480b16f588https://doi.org/10.1097/npt.0000000000000562
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