A study on evaluation of sonographic findings of hemiplegic shoulders at the early stage and prediction of hemiplegic shoulder pain
10.3969/j.issn.1001-1242.2025.02.013
- VernacularTitle:偏瘫早期肩部超声影像评估及肩痛预测的研究
- Author:
Fang ZHANG
1
;
Lingling YAO
;
Hualiang SHEN
Author Information
1. 绍兴市人民医院康复医学科,浙江省绍兴市,312000
- Publication Type:Journal Article
- Keywords:
hemiplegia;
shoulder pain;
sonography;
stroke
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(2):248-253
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the sonographic findings of hemiplegic shoulders,to determine the significant predic-tors of hemiplegic shoulder pain(HSP)at the early stage.Method:88 patients with early hemiplegia from hospital during June 2021 to December 2022 were recruited.Age,sex,hemiplegic side,type and duration of stroke,complications,anteflexion strength and tension of the hemiplegic shoulder,visual assessment scale(VAS)were recorded.Sonographic examination was per-formed to assess the long head of the biceps tendon,supraspinatus tendon,infraspinatus tendon,subscapularis tendon,subacromial-subdeltoid bursa,glenohumeral joint and acromioclavicular joint.According to the VAS score,the patients were divided into 3 groups.Patients with VAS≥4 were classified as hemiplegic shoulder pain 1(HSP-1)group,those with VAS＜4 and ≥ 1 were classified as hemiplegic shoulder pain 2(HSP-2)group,and the remaining patients with VAS=0 were classified as hemiplegic non-shoulder pain(HNSP)group.Result:There were abnormal sonographic findings in 71(80.7％)patients'shoulders in hemiplegia side.25(28.4％)patients were slight abnormal results.46(52.3％)patients were obvious abnormal sonographic findings.20(22.7％)patients whose VAS score were ≥ 4 had abnormal sonographic findings.The most common patholo-gies in early hemiplegic shoulders were abnormalities of the long head tendon of the biceps brachii(35.23％),subacromial-subdeltoid bursitis(19.32％)and supraspinatus lesions(15.90％).The significant predictors for HSP in early hemiplegic patients were tendinitis,supraspinatus tendon tear and sum of sonographic abnormalities.Conclusion:Stroke patients may have soft tissue injuries of the hemiplegic shoulders at the early stage.The significant predictors for HSP in early hemiplegic patients were tendinitis,supraspinatus tendon tear and sum of sonographic abnormalities(≥2).Shoulder sonography is recommended as it can accurately identify soft tis-sue injuries associated with HSP,and provide a basis for developing the appropriate rehabilitation programs and preventing further injury.
