Article

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 Brunnstrom 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) than in the good motor function group. Brunnstrom
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 (gamma=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. Brunnstrom 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.

Langue : ANGLAIS