{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T02:52:18Z","timestamp":1790736738875,"version":"4.1.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2017,6,19]],"date-time":"2017-06-19T00:00:00Z","timestamp":1497830400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the effect of modified wheelchair arm-support to mitigate hemiplegic shoulder pain and reduce pain frequency in stroke patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A single-blind randomized controlled trial using computer-generated simple randomization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Participants recruited from inpatients at the Guangdong Provincial Hospital of Chinese Medicine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects:<\/jats:title>\n                    <jats:p>A total of 120 patients with stroke were divided into two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>All subjects underwent basic rehabilitation training and wheelchair assistance with eight weeks follow-up period. Patients in the treatment group additionally received modified wheelchair arm-support for at least 60\u2009minutes a day, six days a week, for four weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures:<\/jats:title>\n                    <jats:p>Primary outcome was measured by the Visual Analogue Pain Scale or Numeric Pain Rating Scale. Secondary outcome was measured using the Upper Extremity Fugl-Meyer Assessment scale, Modified Barthel Index and Quality of Life Index. Measurements were made at 4\u2009weeks and 12\u2009weeks, following the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Patients age from 21 to 83\u2009years (mean\u2009\u00b1\u2009SD\u2009=\u200962.41\u2009\u00b1\u200912.26). The average duration of disease was 1.9\u2009\u00b1\u20091.3\u2009months. At four weeks, the median of pain intensity was higher in the control group (median, interquartile range\u2009=\u20093, 5.75 vs. 2, 3.75; P\u2009=\u20090.059). At 12\u2009weeks, the median of pain intensity was higher in the control group (median, interquartile range\u2009=\u20093, 5.00 vs. 0, 1.00; P\u2009&lt;\u20090.001). At 12\u2009weeks, patients with shoulder pain were higher in the control group (6 vs. 1; P\u2009&lt;\u20090.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Using the modified wheelchair arm-support could lead to the mitigation of hemiplegic shoulder pain and reduction in pain incidence in stroke patients. It may also improve the patients\u2019 quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215517714830","type":"journal-article","created":{"date-parts":[[2017,6,20]],"date-time":"2017-06-20T02:36:35Z","timestamp":1497926195000},"page":"37-47","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":27,"title":["A randomized controlled trial of a modified wheelchair arm-support to reduce shoulder pain in stroke patients"],"prefix":"10.1177","volume":"32","author":[{"given":"Ruihuan","family":"Pan","sequence":"first","affiliation":[{"name":"Department of Rehabilitation, The 2nd Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingchao","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, The 2nd Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Health Science and Technology, Aalborg University, Aalborg, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youhua","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, The 2nd Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lechang","family":"Zhan","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, The 2nd Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, The 2nd Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhijing","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, The 2nd Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leying","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, The 2nd Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Zhan","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, The 2nd Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongxia","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, The 2nd Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,6,19]]},"reference":[{"key":"bibr1-0269215517714830","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000254598.16739.4e"},{"key":"bibr2-0269215517714830","doi-asserted-by":"publisher","DOI":"10.3109\/09638280903127685"},{"key":"bibr3-0269215517714830","doi-asserted-by":"publisher","DOI":"10.1016\/S1052-3057(10)80071-0"},{"key":"bibr4-0269215517714830","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2014.09.007"},{"key":"bibr5-0269215517714830","doi-asserted-by":"publisher","DOI":"10.1615\/CritRevPhysRehabilMed.v20.i3.20"},{"key":"bibr6-0269215517714830","doi-asserted-by":"publisher","DOI":"10.1016\/j.nrl.2011.02.010"},{"key":"bibr7-0269215517714830","doi-asserted-by":"publisher","DOI":"10.1136\/pmj.77.912.645"},{"key":"bibr8-0269215517714830","doi-asserted-by":"publisher","DOI":"10.1016\/j.rehab.2012.07.338"},{"key":"bibr9-0269215517714830","doi-asserted-by":"publisher","DOI":"10.1152\/jn.00049.2007"},{"key":"bibr10-0269215517714830","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2014.01.010"},{"key":"bibr11-0269215517714830","first-page":"202","volume-title":"Proceedings of the 2013 IEEE international conference on bioinformatics and biomedicine (BIBM)","author":"Pan RH"},{"key":"bibr12-0269215517714830","doi-asserted-by":"publisher","DOI":"10.1016\/S0004-9514(14)60549-3"},{"key":"bibr13-0269215517714830","doi-asserted-by":"publisher","DOI":"10.1191\/0269215505cr941oa"},{"key":"bibr14-0269215517714830","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2005.07.291"},{"key":"bibr15-0269215517714830","first-page":"85","volume":"36","author":"Ada L","year":"2005","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr16-0269215517714830","unstructured":"Rao ML. 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