J Korean Acad Rehabil Med.
2010 Apr;34(2):158-162.
Causes of the Hemiplegic Shoulder Pain
- Affiliations
-
- 1Department of Physical Medicine & Rehabilitation, College of Medicine, Dongguk University, Korea. jinwoo_park@duih.org
Abstract
OBJECTIVE
To find out how many causes constitute hemiplegic shoulder pain (HSP) and how they distribute in an individual patient. METHOD: Twenty-three consecutive patients with HSP which had newly developed within 3 months after stroke were enrolled from January 2008 till July, 2008. They all performed a passive range of motion test for adhesive capsulitis, modified Ashworth test for spasticity, simple x-ray for subluxation, ultrasonography for rotator cuff problems and three-phase bone scintigraphy for complex regional pain syndrome (CRPS). The causes of HSP were analyzed in number and distribution.
RESULTS
Average 2.26 causes constituted with HSP in an individual patient. Most common causes were adhesive capsulitis and CRPS (respectively 14 patients). Two patients had 4 and eight patients had 3 types of shoulder pathology.
CONCLUSION
More than two types of shoulder pathology existed in a patient with HSP. These findings shoulde be carefully considered when treating the patients with HSP.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Botulinum Toxin A Injection into the Subscapularis Muscle to Treat Intractable Hemiplegic Shoulder Pain
- Comparison of Ultrasonographic Findings with Clinical Findings in Hemiplegic Shoulder
- Ultrasonographic and Physical Examination to Investigate the Cause of Painful Hemiplegic Shoulder
- The Effect of Subacromial Massage for Hemiplegic Shoulder: Ramdomized Controlled Study
- Anterior Displacement of Humeral Head in Hemiplegic Shoulder Subluxation
