SONOGRAPHY AND PHYSICAL FINDINGS IN STROKE PATIENTS WITH HEMIPLEGIC SHOULDERS: A LONGITUDINAL STUDY

作者：Pong Ya Ping; Wang Lin Yi; Huang Yu Chi^*; Leong Chau Peng; Liaw Mei Yun; Chen Hsuan Yu

来源：Journal of Rehabilitation Medicine, 2012, 44(7): 553-557.

DOI：10.2340/16501977-0987

• hemiplegic shoulder pain
• stroke
• sonography

Objective: To investigate the correlation between hemiplegic shoulder pain factors during the acute and chronic stages of stroke recovery. %26lt;br%26gt;Design: A prospective longitudinal study. %26lt;br%26gt;Subjects: Seventy-six stroke patients with hemiplegic shoulders. %26lt;br%26gt;Methods: Hemiplegic shoulder pain and clinical, physical, and sonography results were recorded at admission and during both acute (before discharge) and chronic stages (6 months after discharge). %26lt;br%26gt;Results: During the acute stage, hemiplegic shoulder pain correlated significantly with shoulder motor function level and range of motion imitations. During the chronic stage, hemiplegic shoulder pain correlated significantly with shoulder motor function level, range of motion limitations, spasticity and abnormal sonographic findings. Higher incidence (p=0.014) of hemiplegic shoulder pain and pain scores (p%26lt;0.01) were noted and abnormal sonographic findings of the biceps tendon long head (p=0.01) and subscapularis tendon (p=0.01) were higher during the chronic stage. Effusion, tenosynovitis or tendinopathy of the biceps tendon long head, and supraspinatus tendinopathy were notable during both stages. %26lt;br%26gt;Conclusion: Hemiplegic shoulder pain was correlated with lower motor function level and shoulder range of motion limitation in both stages. Shoulder spasticity and abnormal sonographic findings were correlated with hemiplegic shoulder pain during the chronic stage.

• 出版日期2012-6
• 单位长春大学