Shoulder subluxation after stroke: relationships with pain and motor recovery.

@article{Paci2007ShoulderSA,
  title={Shoulder subluxation after stroke: relationships with pain and motor recovery.},
  author={Matteo Paci and Luca Nannetti and Piero G Taiti and Marco Baccini and Lucio Antonio Rinaldi},
  journal={Physiotherapy research international : the journal for researchers and clinicians in physical therapy},
  year={2007},
  volume={12 2},
  pages={
          95-104
        }
}
  • M. Paci, L. Nannetti, +2 authors L. Rinaldi
  • Published 2007
  • Medicine
  • Physiotherapy research international : the journal for researchers and clinicians in physical therapy
BACKGROUND AND PURPOSE Glenohumeral subluxation (GHS) is a frequent complication in patients with post-stroke hemiplegia, but its role in functional recovery is still unclear. The aim of the present investigation was to understand the relationship of GHS with shoulder pain and arm motor recovery. METHOD A case-control study design was used. A sample of 107 hemiplegic adults with recent stroke (less than 30 days from onset) was differentiated into two groups according to the presence of GHS… Expand
Association between ultrasound assessment of glenohumeral subluxation and shoulder pain, muscle strength, active range of movement and upper limb function in people with stroke
TLDR
The relationship between GHS, shoulder AROM, muscle strength and upper limb function suggests that patients with GHS are more like to have a poor motor recovery. Expand
A critical review of shoulder subluxation and its association with other post-stroke complications
TLDR
Early rehabilitation programmes which target shoulder muscle function may be the best approach to the prevention of secondary complications and the facilitation of motor recovery in the upper limb. Expand
Rehabilitation methods for reducing shoulder subluxation in post-stroke hemiparesis: a systematic review*
TLDR
No technique could effectively reduce the subluxation and facilitate the upper limb recovery and future trials using more precise and valid tool such as ultrasonography are also needed. Expand
Tracking changes in glenohumeral joint position in acute post-stroke hemiparetic patients: an observational study
TLDR
Clinicians should employ current best practice guidelines which promote safe positioning and handling of the upper limb to minimiseSubluxation forces and potential trauma to the passive restraints of the shoulder in the acute phase following stroke, to reduce the possibility of glenohumeral subluxation in the short term. Expand
Association between glenohumeral subluxation and hemiplegic shoulder pain in patients with stroke
TLDR
Irrespective of any association, both subluxation and pain can independently have an impact on functional rehabilitation. Expand
A new orthosis for subluxed, flaccid shoulder after stroke facilitates gait symmetry: a preliminary study.
TLDR
The well-tolerated shoulder orthosis improved gait quality and repositioned the subluxated humeral head, offered a good fit, and eased performing activities, but did not reduce pain. Expand
Assessment of Glenohumeral Subluxation in Poststroke Hemiplegia: Comparison Between Ultrasound and Fingerbreadth Palpation Methods
TLDR
The ultrasound method can detect minor asymmetry and has the potential advantage over the fingerbreadth palpation method of identifying patients with minor subluxation and report the sensitivity and specificity of this method. Expand
The effects of hemiplegic shoulder pain on upper extremity motor function and proprioception.
TLDR
Presence of HSP is one of the main determinators of upper extremity motor function level and proprioceptive ability at different angles and can make a significant contribution to sensorimotor integration by leading to recovery in the motor function and propriOceptive acuity. Expand
SENSORI-MOTOR RECOVERY IN POST-STROKE SHOULDER SUBLUXATION: A NON INVASIVE CORRELATION STUDY
TLDR
Post-stroke Gleno-humeral subluxation is a significant complication which undoubtedly plays a cardinal negative role during sensori-motor recovery of the affected upper limb following stroke. Expand
The effectiveness of functional electrical stimulation for the treatment of shoulder subluxation and shoulder pain in hemiplegic patients: A randomized controlled trial
TLDR
The results of this study have shown that applying FES treatment to the supraspinatus and posterior deltoid muscles in addition to conventional treatment when treating the subluxation in hemiplegic patients is more beneficial than conventional treatment by itself. Expand
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References

SHOWING 1-10 OF 33 REFERENCES
Validity of clinical measures of shoulder subluxation in adults with poststroke hemiplegia.
  • J. Hall, B. Dudgeon, M. Guthrie
  • Medicine
  • The American journal of occupational therapy : official publication of the American Occupational Therapy Association
  • 1995
TLDR
Although detection was best with palpation, the likely inability to determine clinical overcorrecting of subluxation makes use of palpation alone suspect, and improved techniques of arm length measurement may provide a solution to this problem. Expand
Shoulder pain and subluxation after stroke: correlation or coincidence?
TLDR
The results do not support a strong relationship between shoulder subluxation and pain after stroke and Appropriate precautions should be taken to prevent range of motion limitations that may result in shoulder pain. Expand
Evaluation and treatment of shoulder subluxation in hemiplegia: relationship between subluxation and pain.
TLDR
It is concluded that correct positioning and shoulder range of motion exercises are advisable in hemiplegic patients with shoulder subluxation, and adhesive capsulitis is a main cause of shoulder pain. Expand
Glenohumeral joint subluxation and reflex sympathetic dystrophy in hemiplegic patients.
TLDR
Findings from this study suggest that shoulder subluxation may be a causative factor for RSD, and prevention and appropriate treatment of glenohumeral jointSubluxation should be included in rehabilitation of hemiplegic patients. Expand
Shoulder subluxation after stroke: a comparison of four supports.
TLDR
This study quantitatively compares the reduction of shoulder subluxation using four supports: the single-strap hemisling, the Bobath roll, the Rolyan humeral cuff sling, and the Cavalier support. Expand
Painful shoulder in the hemiplegic and unilateral neglect.
TLDR
It is unable to demonstrate a relationship between hemineglect and shoulder pain in the hemiplegic patients, although pain was significantly more frequent in subjects with right hemispheric cerebrovascular accident. Expand
The effects of functional electrical stimulation on shoulder subluxation, arm function recovery, and shoulder pain in hemiplegic stroke patients.
TLDR
It is concluded that the FES program was effective in reducing the severity of shoulder subluxation and pain, and possibly facilitating recovery of arm function. Expand
Electrophysiological investigation on shoulder subluxation in hemiplegics.
  • N. Chino
  • Medicine
  • Scandinavian journal of rehabilitation medicine
  • 1981
TLDR
It is postulated that shoulder subluxation in hemiplegics may be caused by brachial plexus lesions and therapeutic measures should be placed in a retracted posture or suspended to prevent the joint from being overstretched and ROM exercise of the shoulder joint should be carried out as a cautious maneuver to avoid displacement of the glenohumeral joint. Expand
Degree of pain and grade of subluxation in the painful hemiplegic shoulder.
TLDR
The role of subluxation in the production of pain may not be as important as often believed and no correlation was found between grade ofSubluxation and degree of pain. Expand
Shoulder subluxation and pain in stroke patients.
  • Richard W. Bohannon, A. W. Andrews
  • Medicine
  • The American journal of occupational therapy : official publication of the American Occupational Therapy Association
  • 1990
TLDR
Although the measurements used in this study were reliable, they did not support the association of shoulder subluxation with shoulder pain in stroke patients, and Clinicians wishing to reduce shoulder pain with stroke patients should direct their treatment accordingly. Expand
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