Physiotherapy for spasticity-related shoulder pain

A comparative open label study comparing the efficacy of structured physiotherapy vs non-structured physiotherapy in reducing post-stroke spasticity-related shoulder pain in patients treated with botulinum toxin A

Shoulder pain is a very common and troublesome complication after stroke, with a reported prevalence varying from 23% to 64%. It can interfere with the rehabilitation process and may also decrease performance of activities of daily living. It is associated with reduction in quality of life (Chae 2007; Joynt 1992).

One of the factors most frequently associated with shoulder pain is spasticity. This focal spasticity (muscle tightness or stiffness) can also lead to restricted use of the arm, interfering with activities of daily living.

The primary purpose of this study is to better understand whether botulinum toxin and physiotherapy can be used as a treatment for muscle stiffness and tightness (spasticity) in the shoulder after stroke in patients who have shoulder pain.


Please contact the Outpatient Rehabilitation Department at Royal Prince Alfred Hospital on 02 9515 9889 and speak to Lucy Kennewell.

Download the participant info sheet (PDF 89 KB)