The clinical relevance of abnormal upper trunk posture for predicting shoulder impingement syndrome among stroke survivors

VernacularTitle:脑卒中患者躯干上部异常姿势与肩峰撞击综合征的相关性分析
Author: Gaoliang CUI ¹ ; Yuhong TIAN
Author Information

1. 商丘市第一人民医院康复科
Keywords: Stroke; Head forward; Thoracic kyphosis; Shoulder impingement syndrome
From: Chinese Journal of Physical Medicine and Rehabilitation 2017;39(9):668-671
CountryChina
Language:Chinese
Abstract: Objective To explore the relevance of abnormal posture to the development of shoulder pain among stroke survivors.Methods A total of 102 stroke survivors were studied.Those with shoulder impingement syndrome or shoulder pain formed a shoulder pain group,while those without shoulder pain served as controls.The upper trunk sagittal sitting postures of all of the subjects were quantified using the thoracic and craniovertebral angles measured from photographs.Results The average craniovertebral angle of the shoulder pain group was significantly smaller than that of the control group,while the average thoracic angle of the former was significantly larger.The craniovertebral angles were negatively correlated with shoulder pain,while a large thoracic angle was positively correlated.Conclusion Thoracic and craniovertebral angles can be used as a predictor of shoulder impingement syndrome among stroke survivors.Stroke patients with thoracic kyphosis and forward head posture should undergo active rehabilitation.