فراوانی اختلالات حسی و حرکتی در سه ماهه اول بعد از وقوع سکته مغزی در مراجعین به مرکز آموزشی - درمانی حضرت علی‌ابن‌ابیطالب (ع) رفسنجان

Background: Stroke is the third ranking cause of death after heart and cancer diseases. The evaluation and knowledge of sensorimotor complications is the most important,. The purpose of this study was to evaluate the frequency of sensorimotor dysfunctions during the first 3 months after stroke in hospitalized patients in neurologic ward of AliIbn Abitaleb Hospital of Rafsanjan City Materials and Methods: This study was a cross sectional descriptive method of sampling during 20 months (from 4thApril 2000 to 6thDecember 2001) in hospitalized patients of neurologic ward of AliIbn Abitaleb Hospital in Rafsanjan. 90 patients who were afflicted with stroke were evaluated by a questionnaire with 25 statements that was used to record informations about this study during 4 stages (3days, 1 month, 2 months and 3 months after the stroke). Complications of stroke patients included:side effects, type of stroke, light touch sensation, sense of joint position, two points discrimination, flaccidity, spasticity, normal tone, painful shoulder at rest and passive movement, contracture, limb neglect, pressure sore, sitting, standing and walking balance, movments of wrist, ankle, elbow, shoulder, fingers of hand, foot, knee, bridging and straight leg raising. Results: The results of this research showed that out of 90 patients during four stage of evaluation, the highest amount of movments recovery were observed in shoulder 77.7%, elbow 61.1% and straight leg raising 61.1% respectively. Recovery of light touch sensation in fourth stage of evaluation was 85.6%which was more than other sensations. In the fourth stage of evaluation 21.1% of individuals had normal muscle tone which was more than other stages. During the third stage of evaluation, shoulder pain with passive movment was 68.9%, spasticity 67.8% and shoulder pain at rest 51.1%, these complications comprised the highest percentile. During fourth stage evaluation, contracture was observed in 20% of patients which was more than other stages. The most pressure sore was observed in 18.9% of patients. Conclusion: The results of this study suggest that considering the high prevalence of shoulder pain in patients, after stroke  proper support of shoulder and correct handling of patients is required, so the hospital personnel and health care workers should be educated. Also spasticity is decreased by proper exercise therapy and use of orthosis can prevent muscle contracture. It was clear that the most complications were pressure sores that developed within the first- month after stroke, there foreprevention of this complication is very important. Key words: Stroke, Sensorimotor dysfunctions, Shoulder pain, Spasticity, Rafsanjan. Corresponding author, tell: (391)5231224 Journal of Rafsanjan University of Health and Medical Sciences 2002 1(4):241-251