Association between ultrasound assessment of glenohumeral subluxation and shoulder pain, muscle strength, active range of movement and upper limb function in people with stroke

Kumar, Praveen; Bradley, Michael; Gray, Selena; Swinkels, Annette

Abstract

Background: Glenohumeral subluxation (GHS) is a commonly reported post-stroke complication which has a negative effect on rehabilitation.
Objective: To explore the association between GHS and other clinical outcomes in people with post-stroke hemiplegia.
Methods: Patients with post-stroke hemiplegia (n=105, 71±11 years, median time since stroke 5.6 weeks), who gave informed consent, were recruited. GHS was assessed by the ultrasound method. Assessment of shoulder pain (visual analogue scale), active range of movement (AROM), muscle strength (Medical Research Council Scale), muscle tone (Modified Ashworth Scale) and the upper limb section of the Motor Assessment Scale (MAS) was undertaken.
Results: GHS was present in 65 (62%) patients. There was a moderate negative correlation between GHS and muscle strength (r=-0.54, p

• Journal Article Type: Article
• Acceptance Date: Nov 10, 2018
• Online Publication Date: Jan 28, 2019
• Publication Date: 2020
• Deposit Date: Nov 12, 2018
• Publicly Available Date: Jan 29, 2020
• Journal: European Journal of Physiotherapy
• Print ISSN: 2167-9169
• Electronic ISSN: 2167-9177
• Publisher: Taylor & Francis
• Peer Reviewed: Peer Reviewed
• Volume: 22
• Issue: 2
• Pages: 79-85
• DOI: https://doi.org/10.1080/21679169.2018.1549273
• Keywords: glenohumeral subluxation, pain, muscle strength, active range of movement, upper limb function, ultrasound
• Public URL: https://uwe-repository.worktribe.com/output/854782
• Publisher URL: https://doi.org/10.1080/21679169.2018.1549273
• Additional Information: Additional Information : This is an Accepted Manuscript of an article published by Taylor & Francis in European Journal of Physiotherapy on 28th January 2019, available online: https://doi.org/10.1080/21679169.2018.1549273.
• Contract Date: Nov 12, 2018