{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T12:05:12Z","timestamp":1775131512648,"version":"3.50.1"},"reference-count":25,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2000,2,1]],"date-time":"2000-02-01T00:00:00Z","timestamp":949363200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2000,2]]},"abstract":"<jats:p> Objective: To describe the methods of treatment applied by physiotherapists, occupational therapists, rehabilitation physicians, nursing-home physicians and neurologists for hemiplegic shoulder pain, and to investigate their beliefs about the effectiveness of triamcinolone acetonide injections for this diagnosis. <\/jats:p><jats:p> Design: Postal questionnaire with structured and open-ended questions. If necessary, a written reminder was sent after 2\u20133 weeks. <\/jats:p><jats:p> Subjects: One hundred physiotherapists, 100 occupational therapists, 100 rehabilitation physicians, 100 nursing-home physicians and 100 neurologists in the Netherlands. These healthcare workers were all active in the rehabilitation of stroke patients. <\/jats:p><jats:p> Results: The response was 351 (70.2%), ranging from 58% (neurologists) to 83% (physiotherapists). Fifty-four different (combinations of) treatments were mentioned and were classified into eight treatment groups. The frequency of the first choice of treatment was: physiotherapy (32%), prevention\/ instruction\/education (22%), oral medication (8%), local injection (7%), sling (4%), referral (3%), other therapies (4%), and different combinations (20%). <\/jats:p><jats:p> In total, 86 respondents had applied local injections: 70 rehabilitation physicians, 10 nursing-home physicians and 6 neurologists. The injections used were: corticosteroids alone (51.2%), in combination with a local anaesthetic (37.2%) or a local anaesthetic only (9.3%). Belief in the effectiveness of triamcinolone injections, measured on a 0\u2013100 point scale, was: physiotherapists median 62.5 (IQR 29.75\u201371.75), occupational therapists median 50.0 (IQR 43.0\u201363.0), rehabilitation physicians median 70.0 (IQR 56.5\u201380.0), nursing-home physicians median 35.0 (IQR 21.0\u201364.5), neurologists median 47.0 (IQR 20.0\u201363.0). <\/jats:p><jats:p> Conclusions: As preventive measures and physiotherapy, or a combination of both, were found to be the favourite methods of treatment for hemiplegic shoulder pain in this survey, it seems that most physicians and therapists rely on a mechanical approach to hemiplegic shoulder pain. Rehabilitation physicians used additional local (anti-inflammatory) injections. <\/jats:p>","DOI":"10.1191\/026921500668239146","type":"journal-article","created":{"date-parts":[[2003,5,13]],"date-time":"2003-05-13T05:30:08Z","timestamp":1052803808000},"page":"20-27","source":"Crossref","is-referenced-by-count":32,"title":["Treatment of hemiplegic shoulder pain in the Netherlands: results of a national survey"],"prefix":"10.1177","volume":"14","author":[{"given":"Ingrid AK","family":"Snels","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heleen","family":"Beckerman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustaaf J","family":"Lankhorst","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, University Hospital, Vrije Universiteit, and Institute for Research in Extramural Medicine, Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lex M","family":"Bouter","sequence":"additional","affiliation":[{"name":"Institute for Research in Extramural Medicine and Department of Epidemiology and Biostatistics, Faculty of Medicine, Vrije Universiteit, Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2000,2,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1097\/00004356-199509000-00010"},{"key":"atypb2","first-page":"673","volume":"71","author":"Poulin de Courval L","year":"1990","journal-title":"Arch Phys Med Rehabil"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.3109\/09638289609166035"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1177\/026921559400800410"},{"key":"atypb5","first-page":"706","volume":"65","author":"Hakuno A","year":"1984","journal-title":"Arch Phys Med Rehabil"},{"key":"atypb6","first-page":"131","volume":"3","author":"Najenson T","year":"1971","journal-title":"Scand J Rehabil Med"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/66.12.1884"},{"key":"atypb8","first-page":"23","volume":"67","author":"Ouwenaller C van","year":"1986","journal-title":"Arch Phys Med Rehabil"},{"key":"atypb9","volume-title":"Restoration of motor function in the stroke patient","author":"Johnstone M","year":"1978"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.6123.1307"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-199008000-00007"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/66.12.1930"},{"key":"atypb13","first-page":"1209","volume":"68","author":"Williams R","year":"1988","journal-title":"Phys Ther"},{"key":"atypb14","first-page":"217","volume":"94","author":"Cool JC","year":"1984","journal-title":"Ned Tijdschr Fysiother"},{"key":"atypb15","first-page":"582","volume":"72","author":"Brooke MM","year":"1991","journal-title":"Arch Phys Med Rehabil"},{"key":"atypb16","first-page":"254","volume":"65","author":"Rizk TE","year":"1984","journal-title":"Arch Phys Med Rehabil"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7099.25"},{"key":"atypb18","first-page":"309","volume":"46","author":"Heijden GJMG van der","year":"1996","journal-title":"Br J Gen Pract"},{"key":"atypb19","unstructured":"Jong BA de. 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