Hemiplegic shoulder pain (HSP) is one of most complications after stroke. HSP would impede rehabilitation programs and the motor recovery of affected upper extremity. HSP was associated with impaired daily life activities and prolong hospital stay after stroke. Therefore, effective managements is important in stroke patients with HSP.
What is hemiplegic shoulder subluxation?
Introduction. Shoulder subluxation may occur early on in the hemiplegic arm due to flaccid supporting shoulder musculature and can be exacerbated by external forces. However, Patients with shoulder subluxation may not have Hemiplegic Shoulder Pain while patients with Hemiplegic Shoulder Pain may not have shoulder subluxation.
How long does hemiplegic shoulder pain last?
Hemiplegic shoulder pain can occur as early as two weeks post-stroke but an onset of two to three months is more typical. Shoulder pain can negatively affect rehabilitation outcomes as good shoulder function is a prerequisite for successful transfers, maintaining balance, effective hand function, and performing activities of daily living.
Can hemiplegia cause shoulder pain?
Shoulder pain resulting from hemiplegia is a common clinical consequence of stroke. Hemiplegic shoulder pain can occur as early as two weeks post-stroke but an onset of two to three months is more typical.
How to manage hemiplegic stroke pain?
The ideal management of hemiplegic stroke pain is to prevent it happening in the first place. Various strategies have been employed in the prophylaxis of hemiplegic shoulder pain. For prophylaxis to be effective, it must be begin immediately after the stroke. Once the patient has pain, resultant anxiety and overprotection will follow. 12
Can hemiplegic arm cause subluxation?
When a change in normal muscular function occurs eg after a stroke, this presents a potential risk for subluxation. During the initial period following a stroke, the hemiplegic arm is flaccid or hypotonic. The shoulder muscles are unable to anchor the humeral head within the glenoid cavity, resulting in a high risk of shoulder subluxation.
What is subluxation of the shoulder?
It equally occurs within men and women. Shoulder subluxations frequently occur in people with hemiplegic stroke or with a paralysed upper limb. The reported incidence varies greatly, from 17% to 81%. Traumatic subluxations of the shoulder can occur in many sports, including football, rugby, wrestling and boxing.
Is sling good for hemiplegic shoulder?
Study done by Jung el al, 2019 has shown that active shoulder exercise with a sling suspension system may be effective in reducing shoulder subluxation, improving proprioception, and upper extremity function in patients following acute stroke. The 5 minute video below gives some good exercises to use for hemiplegic shoulder.
Is hemiplegic shoulder pain common after a stroke?
Introduction: The hemiplegic shoulder pain is common after a stroke. Its appearance brings pain and limits daily living activities as well as participation in specific Neuro-rehabilitation programs. All this leads to a worse functional outcome.