Dr Praveen Kumar Praveen.Kumar@uwe.ac.uk
Associate Professor in Stroke Rehabilitation
Dr Praveen Kumar Praveen.Kumar@uwe.ac.uk
Associate Professor in Stroke Rehabilitation
Jakko Brouwers
Background: Hemiplegic shoulder pain (HSP) has a reported incidence of up to 84% of patients. HSP is multi-factorial in nature and interventions are very varied but are generally unsatisfactory. The objective of this case series study is to report findings on patients with HSP who underwent scanning using portable diagnostic ultrasound and received problem specific treatment. Methods: Six patients with HSP were receiving rehabilitation (over-arm exercises, electrical stimulation, stretches, Saebo exercises) in a private clinic but were not showing any improvement. Ultrasound scanning was undertaken and following problems were identified: glenohumeral subluxation (GHS), supraspinatus atrophy (diameter of supraspinatus), rotator cuff tears, and bicipital tendinitis. Treatment included: 1) ultrasound guided electrical stimulation to supraspinatus; lateral deltoid (GHS, supraspinatus atrophy) 2) rotator cuff training / isometric exercises (Rotator cuff tears, supraspinatus atrophy). 3) Avoiding of over-arm activities. Other treatment included scapula setting exercises (for posture and muscle imbalance). Results: At 12 weeks, patients showed 50-75% reduction in pain, 40-60% improvement in GHS (up to 1 cm affected to unaffected difference), increase in diameter of supraspinatus at rest (0.4 cm) and contracted state (0.8cm), increase in range of movement (flexion – 30 degrees, abduction – 45 degrees, external rotation – 40 degrees), improved use of arm for function / rehabilitation, and patients reported improvement in activities of daily living. Clinicians reported improvements in designing and delivery of exercise programme. Conclusion: Portable diagnostic ultrasound has potential to inform treatment choices for HSP and improve patient outcomes
Presentation Conference Type | Poster |
---|---|
Conference Name | 2nd Congress on Neurorehabilitation and Neural Repair |
Start Date | May 22, 2017 |
End Date | May 24, 2017 |
Acceptance Date | May 22, 2017 |
Peer Reviewed | Not Peer Reviewed |
Keywords | stroke, shoulder pain, diagnostic ultrasound, treatment |
Public URL | https://uwe-repository.worktribe.com/output/887373 |
Additional Information | Title of Conference or Conference Proceedings : 2nd Congress on Neurorehabilitation and Neural Repair |
Glenohumeral subluxation and other post-stroke complications in people with stroke
(2014)
Presentation / Conference Contribution
Use of potable diagnostic ultrasound to inform treatment choices for hemiplegic shoulder pain following stroke
(2015)
Presentation / Conference Contribution
Effectiveness of lycra sleeve for the management of glenohumeral subluxation in people with stroke – A feasibility study
(2015)
Presentation / Conference Contribution
About UWE Bristol Research Repository
Administrator e-mail: repository@uwe.ac.uk
This application uses the following open-source libraries:
Apache License Version 2.0 (http://www.apache.org/licenses/)
Apache License Version 2.0 (http://www.apache.org/licenses/)
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search