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Assessment and Management Practices for Post-Stroke Shoulder Pain Among Rehabilitation Professionals in Vietnam: A Cross-Sectional Survey.

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Τίτλος: Assessment and Management Practices for Post-Stroke Shoulder Pain Among Rehabilitation Professionals in Vietnam: A Cross-Sectional Survey.
Συγγραφείς: Nguyen NT; Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand.; Bach Mai Hospital, Hanoi, Vietnam., Vongsirinavarat M; Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand., Piriyaprasarth P; Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand., Hiengkaew V; Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand., Luong KT; Bach Mai Hospital, Hanoi, Vietnam.
Πηγή: Physiotherapy research international : the journal for researchers and clinicians in physical therapy [Physiother Res Int] 2026 Jul; Vol. 31 (3), pp. e70290.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: John Wiley & Sons Country of Publication: United States NLM ID: 9612022 Publication Model: Print Cited Medium: Internet ISSN: 1471-2865 (Electronic) Linking ISSN: 13582267 NLM ISO Abbreviation: Physiother Res Int Subsets: MEDLINE
Imprint Name(s): Publication: 2006- : Hoboken, NJ : John Wiley & Sons
Original Publication: London ; Lawrence, KS : Whurr Publishers, c1996-
Ιατρικοί όροι (MeSH): Shoulder Pain*/etiology , Shoulder Pain*/rehabilitation , Shoulder Pain*/diagnosis , Stroke Rehabilitation*/methods , Stroke*/complications , Physical Therapists*, Humans ; Cross-Sectional Studies ; Vietnam ; Male ; Female ; Surveys and Questionnaires ; Adult ; Occupational Therapy ; Middle Aged ; Physical Therapy Modalities ; Occupational Therapists
Περίληψη: Background: Post-stroke shoulder pain (PSSP) is a common complication that negatively affects functional recovery and rehabilitation outcomes. Despite the availability of evidence-informed management strategies, clinical practice may vary across settings, particularly in lower-and middle-income countries.
Purpose: To investigate current assessment and management practices for PSSP among physical and occupational therapists in Vietnam and to identify potential evidence and practice gaps as well as the barriers to effective care.
Methods: A cross-sectional survey was conducted online among rehabilitation professionals working in stroke care in 14 hospitals across all regions of Vietnam. A structured questionnaire was designed to capture the actual practice information on assessment approaches, treatment strategies, preventive measures, and perceived barriers to PSSP management. Descriptive statistics were used to summarize responses, and comparisons between levels of clinical experience were performed. The results were also analyzed for their alignment with the evidence-informed rehabilitation principles.
Results: A total of 214 therapists (191 physical therapists and 23 occupational therapists) participated in the online survey. Most respondents reported that 25%-75% of their stroke patients experienced shoulder pain. Common assessment methods included shoulder subluxation, patient-reported pain, and range-of-motion evaluation. Only 53.74% of respondents reported using standardized outcome measures. Preventive strategies such as positioning and sling usage were widely implemented (70.64%). In treatment, 37.38% of therapists emphasized modalities, while 35.98% used combined approaches and 26.64% focused on mobility-based exercise. Key barriers included lack of long-term follow-up (65.42%), time constraints (45.79%), and inconsistent treatment approaches (45.79%).
Discussion: The findings revealed considerable variation in PSSP assessment and management practices among rehabilitation professionals in Vietnam, with a substantial proportion of respondents reporting treatment approaches centered on passive modalities. System-level barriers, including limited follow-up and time constraints, were frequently perceived by respondents as influencing their clinical practice. These findings may help inform future initiatives related to professional training, practice standardization, and development of context-specific guidelines for post-stroke shoulder pain management.
(© 2026 John Wiley & Sons Ltd. All rights reserved, including rights for text and data mining and training of artificial intelligence technologies or similar technologies.)
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Contributed Indexing: Keywords: Vietnam; evidence–practice gap; occupational therapy; physical therapy; post‐stroke shoulder pain; stroke rehabilitation
Entry Date(s): Date Created: 20260715 Date Completed: 20260715 Latest Revision: 20260726
Update Code: 20260726
PubMed Central ID: PMC13372232
DOI: 10.1002/pri.70290
PMID: 42455920
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1471-2865
DOI:10.1002/pri.70290