Causes of the Hemiplegic Shoulder Pain.
- Author:
Tea Sang YOON
1
;
Dae Hwan KIM
;
Jin Woo PARK
;
Bum Sun KWON
;
Ki Hyung RYU
;
Ho Jun LEE
;
Nyo Kung PARK
;
Jae Hoon SHIM
Author Information
1. Department of Physical Medicine & Rehabilitation, College of Medicine, Dongguk University, Korea. jinwoo_park@duih.org
- Publication Type:Original Article
- Keywords:
Stroke;
Shoulder pain;
Causes;
Etiology
- MeSH:
Bursitis;
Humans;
Muscle Spasticity;
Range of Motion, Articular;
Rotator Cuff;
Shoulder;
Shoulder Pain;
Stroke
- From:Journal of the Korean Academy of Rehabilitation Medicine
2010;34(2):158-162
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To find out how many causes constitute hemiplegic shoulder pain (HSP) and how they distribute in an individual patient. METHOD: Twenty-three consecutive patients with HSP which had newly developed within 3 months after stroke were enrolled from January 2008 till July, 2008. They all performed a passive range of motion test for adhesive capsulitis, modified Ashworth test for spasticity, simple x-ray for subluxation, ultrasonography for rotator cuff problems and three-phase bone scintigraphy for complex regional pain syndrome (CRPS). The causes of HSP were analyzed in number and distribution. RESULTS: Average 2.26 causes constituted with HSP in an individual patient. Most common causes were adhesive capsulitis and CRPS (respectively 14 patients). Two patients had 4 and eight patients had 3 types of shoulder pathology. CONCLUSION: More than two types of shoulder pathology existed in a patient with HSP. These findings shoulde be carefully considered when treating the patients with HSP.
