Content » Vol 42, Issue 1

Original report

Physical findings and sonography of hemiplegic shoulder in patients after acute stroke during rehabilitation

Yu-Chi Huang, Pei-Jung Liang, Ya-Ping Pong, Chau-Peng Leong, Cheng-Hao Tseng
DOI: 10.2340/16501977-0488

Abstract

Objective: Physical and sonographic evaluation of hemi­plegic shoulder in patients after acute stroke and correlation between the physical/sonographic findings and early-onset hemiplegic shoulder pain.
Design: Cross-sectional study.
Subjects: Fifty-seven patients after stroke with hemiplegic shoulder.
Methods: Subjects were assigned to poor motor function and good motor function groups according to the Brunnström motor recovery stages of hemiplegic shoulder. Physical findings and sonography of hemiplegic shoulder at admission and before discharge were compared, and the relationship between the physical/sonographic findings of hemiplegic shoulder and hemiplegic shoulder pain was analysed.
Results: The 2 groups differed significantly in proprioception, spasticity, subluxation, and shoulder rotation (p < 0.05). Frequency of abnormal sonographic findings and shoulder pain and visual analogue scale score of hemiplegic shoulder pain before discharge were significantly higher in the poor motor function group (p < 0.05) than in the good motor function group. Brunnström motor recovery stages, shoulder motion, subluxation, and abnormal sonographic findings of hemiplegic shoulder were moderately correlated with visual analogue scale scores of hemiplegic shoulder pain (γ = 0.34–0.65; p < 0.01).
Conclusion: The frequency of shoulder soft tissue injuries (85%) and hemiplegic shoulder pain (67%) was higher in patients with hemiplegic shoulder with impaired sensation, spasticity, subluxation, and restricted rotation. Brunnström motor recovery stages, limited rotation, subluxation, and abnormal sonographic findings of hemiplegic shoulder were associated with hemiplegic shoulder pain severity in patients after acute stroke.

Lay Abstract

Comments

Do you want to comment on this paper? The comments will show up here and if appropriate the comments will also separately be forwarded to the authors. You need to login/create an account to comment on articles. Click here to login/create an account.
Advertisement