{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T08:22:38Z","timestamp":1770970958752,"version":"3.50.1"},"reference-count":30,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2004,6,1]],"date-time":"2004-06-01T00:00:00Z","timestamp":1086048000000},"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":[[2004,6]]},"abstract":"<jats:p> Objective: To evaluate the effect of percutaneous neuromuscular electrical stimulation (P-NMES) of the shoulder muscles on shoulder pain intensity and health-related quality of life in chronic hemiplegia. <\/jats:p><jats:p> Design: Prospective, open label design. <\/jats:p><jats:p> Setting: The outpatient services of a large teaching rehabilitation hospital in the Netherlands. <\/jats:p><jats:p> Subjects: Fifteen stroke survivors with chronic (&gt; six months) hemiplegia and a therapy-resistant painful shoulder with subluxation. All patients suffered from clinically relevant shoulder pain, as assessed by a score of at least 4 out of 10 on a numerical rating scale. Shoulder subluxation was indicated by at least 1\/2 fingerbreadth of glenohumeral separation on palpation. <\/jats:p><jats:p> Intervention: Six hours of P-NMES per day for a total of six weeks. <\/jats:p><jats:p> Main outcome measures: Shoulder pain (Brief Pain Inventory), shoulder subluxation (clinical and radiographic), shoulder pain-free external rotation (hand-held goniometer), motor impairment (Fugl-Meyer Motor test) and quality of life (SF-36) were assessed before treatment, after six weeks of intramuscular stimulation, at three months and six months follow-up. <\/jats:p><jats:p> Results: A significant reduction in pain was found on the Brief Pain Inventory. Pain reduction was still present at six months follow-up. All domains, in particular bodily pain, of the SF-36 showed improvement in the short term. After six months of follow-up, bodily pain was still strongly and significantly reduced, whereas social functioning and role physical demonstrated a nonsignificant improvement of more than 10% compared with baseline. <\/jats:p><jats:p> Conclusion: This pilot suggests that P-NMES potentially reduces shoulder pain in chronic hemiplegia. To establish the clinical value of P-NMES in treating hemiplegic shoulder pain a randomized controlled trial is needed. <\/jats:p>","DOI":"10.1191\/0269215504cr759oa","type":"journal-article","created":{"date-parts":[[2004,5,19]],"date-time":"2004-05-19T23:07:17Z","timestamp":1085008037000},"page":"359-365","source":"Crossref","is-referenced-by-count":75,"title":["Percutaneous neuromuscular electrical stimulation (P-NMES) for treating shoulder pain in chronic hemiplegia. Effects on shoulder pain and quality of life"],"prefix":"10.1177","volume":"18","author":[{"given":"Gerbert J","family":"Renzenbrink","sequence":"first","affiliation":[{"name":"Roessingh Research and Development and Rehabilitation centre Het Roessingh, Enschede, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maarten J","family":"Ijzerman","sequence":"additional","affiliation":[{"name":"Roessingh Research and Development, Enschede, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2004,6,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.3109\/03790798609166178"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.3109\/09638289609166035"},{"key":"atypb3","first-page":"131","volume":"3","author":"Najenson T","year":"1971","journal-title":"Scand J Rehabil Med"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1177\/026921559400800410"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1177\/026921559500900103"},{"key":"atypb6","first-page":"23","volume":"67","author":"VanOuwenaller C","year":"1986","journal-title":"Arch Phys Med Rehabil"},{"key":"atypb7","first-page":"223","volume":"14","author":"Snels IAK","year":"2002","journal-title":"Crit Rev Phys Rehabil Med"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1191\/0269215502cr491oa"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1080\/09638280110101569"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1080\/09638280110062149"},{"key":"atypb11","first-page":"151","volume":"38","author":"Moodie N","year":"1986","journal-title":"Physiother Can"},{"key":"atypb12","first-page":"582","volume":"72","author":"Brooke MM","year":"1991","journal-title":"Arch Phys Med Rehabil"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(95)80532-X"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/66.12.1930"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1016\/0003-9993(94)90341-7"},{"key":"atypb16","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(99)90146-6"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.1016\/S1050-6411(99)00008-5"},{"key":"atypb18","doi-asserted-by":"publisher","DOI":"10.1191\/026921501670667822"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1080\/10400435.2000.10132008"},{"key":"atypb20","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2001.18666"},{"key":"atypb21","first-page":"725","volume-title":"Proceedings of the 1stISPRM Congress","author":"Renzenbrink GJ","year":"2001"},{"key":"atypb22","first-page":"129","volume":"23","author":"Cleeland CS","year":"1994","journal-title":"Ann Acad Med"},{"key":"atypb23","volume-title":"SF-36 health survey manual and interpretation guide","author":"Ware JE Jr","year":"1993"},{"key":"atypb24","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-198807000-00007"},{"key":"atypb25","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/73.7.447"},{"key":"atypb26","doi-asserted-by":"publisher","DOI":"10.1126\/science.150.3699.971"},{"key":"atypb27","doi-asserted-by":"publisher","DOI":"10.1002\/mus.1104"},{"key":"atypb28","doi-asserted-by":"publisher","DOI":"10.1191\/0269215502cr504oa"},{"key":"atypb29","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.30.7.1357"},{"key":"atypb30","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000015030.59594.B3"}],"container-title":["Clinical Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1191\/0269215504cr759oa","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1191\/0269215504cr759oa","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T00:47:31Z","timestamp":1740876451000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1191\/0269215504cr759oa"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,6]]},"references-count":30,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2004,6]]}},"alternative-id":["10.1191\/0269215504cr759oa"],"URL":"https:\/\/doi.org\/10.1191\/0269215504cr759oa","relation":{},"ISSN":["0269-2155","1477-0873"],"issn-type":[{"value":"0269-2155","type":"print"},{"value":"1477-0873","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,6]]}}}