Skip to main content

Research Repository

Advanced Search

Use of potable diagnostic ultrasound to inform treatment choices for hemiplegic shoulder pain following stroke

Kumar, Praveen; Brouwers, Jakko


Profile Image

Dr Praveen Kumar
Associate Professor in Stroke Rehabilitation

Jakko Brouwers


Hemiplegic shoulder pain (HSP) has a reported incidence of up to 84% of patients. The purpose of this case study is to report findings from a patient with HSP who received problem specific treatment and underwent real-time scanning of shoulder region with a portable diagnostic ultrasound. Treatment was modified to address the problems.

Methods/Case Description:
The patient was a 45 year-old woman with right sided-hemiparesis resulting from a clot in December 2013. Patient was undergoing rehabilitation in a private clinic and reported shoulder pain since November 2014. Patient was undergoing rehabilitation (over-arm exercises, electrical stimulation, stretches, Saebo exercises) however, continued to complain of shoulder pain (VAS-7). Ultrasound scanning was undertaken on 23rd February 2015 and following observations were made on both affected (AF) and unaffected (UAF) shoulders. Acromion-greater tuberosity (AGT) distance (AF-3.35 cm, UAF-2.04 cm), diameter of supraspinatus in resting state (AF -1.16 cm, UAF-1.42cm) and contracted state (AF-1.14cm, UAF-1.63cm). Results: Real time US measurement suggested reduction in AGT immediately following treatment. 8 weeks later, VAS score was 3 and patient reported to be able to use arm more for various functional tasks. Diameter of supraspinatus in resting state (AF -1.30 cm, UAF-1.45cm) and contracted state (AF-1.42cm, UAF-1.70cm) suggested some improvement.

This case report demonstrates potential benefits of real-time ultrasound as an assessment tool to inform treatment choices in a chronic patient with stroke.


Kumar, P., & Brouwers, J. (2015, September). Use of potable diagnostic ultrasound to inform treatment choices for hemiplegic shoulder pain following stroke. Poster presented at Welsh Stroke Conference, Cardiff, Wales, UK

Presentation Conference Type Poster
Conference Name Welsh Stroke Conference
Conference Location Cardiff, Wales, UK
Start Date Sep 24, 2015
End Date Sep 25, 2015
Acceptance Date Aug 4, 2015
Publication Date Jan 1, 2015
Publicly Available Date Jun 6, 2019
Peer Reviewed Peer Reviewed
Keywords stroke, shoulder pain, diagnostic ultrasound, novel approach, treatment
Public URL
Additional Information Title of Conference or Conference Proceedings : Welsh Stroke Conference