Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Prevalence of Post Stroke Shoulder Subluxation and Pain


Affiliations
1 CMCH, Ludhiana, India
2 College of Physiotherapy, CMCH, Ludhiana, India
3 Department of Neurology, CMCH, Ludhiana, India
4 College of Nursing, DMCH, Ludhiana, India
     

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Objective: To study the occurrence of shoulder subluxation, shoulder pain in stroke patients and to identify its effect on daily life activities of the patient. Material and Method: Stroke patients from Department Of Physiotherapy and Department of Neurology, Christian Medical College and Hospital,Ludhiana from September to March 2012 were enrolled in the present study. All subjects were registered for demographic data including risk factors and type of stroke. They were assessed for functional ability and quality of life by using Barthel ADL Index(BI). The occurence of shoulder subluxation and shoulder pain were recorded and then were analyzed for the associated factors. Results: Of 100 stroke patients, 68 met the inclusion criteria,24/40 male and 19/28 female patients(63.2%) were found to have shoulder pain and 4/40 male and 3/28 female patients(10.2%) had shoulder subluxation. Shoulder pain was significantly more frequent than subjects with shoulder subluxation.35/68 patients(51.4%) were having infarction type of stroke and 33/68 patients(48.5%) were having hemmorhagic type.65 subjects were dependent on their relatives for daily life activities according to Barthel Index(BI). Conclusion: Post stroke shoulder pain and subluxation were common during the rehabilitation period.Shoulder pain significantly occurred within 6 months after stroke onset and increased risk in patients with shoulder subluxation.

Keywords

Shoulder Pain, Subluxation, Stroke and Rehabilitation
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  • Matteo Paci,Luca Nannetti,LucioA.Rinaldi.glenohumeral subluxation inhemiplegia:an overview.JRRD(july- aug2005).Vol42,no.4(557-568).

  • Seuthanapornkul S,KuptniratsaikulPS,Kuptniratsaikul V,Uthensut P,DajprathaP,Wongwisethkam J.Post stroke shouldersubluxation & shoulder pain: a cohort multicenterstudy.Journal of the Medical Association ofThailand Chotmaihet thangphaet (2008). Vol. 91,Issue;12;Pages1885-1892.

  • Ingrid Lindgren,Ann-Cathrine jonnson,Bonerving & Arne Lindgren.Shoulder pain afterstroke:a prospective population basedstudy.Stroke journal of American HeartAssociation 2007;38:343-348.

  • Diana Jackson,Lyne Turner,HeatherWilliams,Rana Das Gupta.Use of an integratedcare pathway:a third round audit of themanagement of shoulder pain in neurologicalconditions.J Rehabil Med2003;35:265-270.

  • Paci M,Nannetti L,Taiti P,Baccini M,RinaldiL.Shoulder subluxation after stroke:relationshipswith pain & motor recovery.Physiother ResInt.2007 Jun;12(2) :95-104.

  • Price CI,RodgersH, FranklinP, CurlessRH,Johnson GR. Glenohumeral subluxation, scapularesting position & scapula rotation after stroke: anoninvasive evaluation. Archives of PhysicalMedicine & Rehabilitation. Volume 82, Issue 7,Pages 955-960, July2001.

  • Yogini Ratnasabapathy,Joanna Broad,JonathanBaskett,Megan Pledger,Jane Marshall,RuthBonita.Shoulder pain in people with a stroke:apopulation based study.Clin Rehabil March2003Vol.17 no.3(304-311).

  • Bender L,MckennaK.Hemiplegic shoulderpain:defining the problem&itsmanagement.Disabil Rehabil.2001 Nov 10; 23(16); 698-705.

  • SnelsIA,BeckermanH,ten KateJJ, Lankhorst GJ,BouterLM. Measuring subluxation of hemiplegicshoulder: reliability of a method. NeurorehabilNeural Repair. September 2001.Vol. 15no.3249-254.

  • Bohannon R W,Larkin PA,Smith MB,HortonMG.Shoulder pain in hemiplegia statisticalrelationships.Arch Phys Med Rehabil 1986 86;67(8): 514-16.

  • PrevostR, Arsenault AB, DutilE, Drouin G. Rotation of the scapula & shoulder subluxationin hemilplegia.Arch Phys Med Rehabil. 1987 Nov;68(11):786-90.

  • Turner-Stokes L, Jackson D. Shoulder pain afterstroke:a review of the evidence base to informthe development of an integrated care pathway. Clin Rehabil 2002;16:276-98.

  • Roy CW,Sanda MR,Hill LD.Shoulder pain inacutely admitted hemiplegics.Clin Rehabil1994;8:334-40.

  • Gamble GE, Barberan E, Laasch HU,BowsherD,Tyrrell PJ, Jones AK. Post stroke shoulder pain:aprospective study of the association and riskfactors in 152 patients from a consecutive cohortof 205 patients presenting with stroke. Eur JPain2002;6:467-74.

  • Crossens-Sills J,Schenkman M. Analysis ofshoulder pain,range of motion and subluxationin patients with hemiplegia. Phys Ther1985;65:731.

  • Shai G,Ring H,Costeff H,Solzi P.Glenohumeralmalalignment in the hemiplegic shoulder. Anearly radiologic sign.Scand J Rehabil Med1984;16:133-6.

  • Basmajian JV,Bazant FJ.Factors preventingdownward dislocation of the adducted shoulderjoint. An electromyographic and morphologicalstudy. J Bone Joint Surg Am 1959;41:1182-6.

  • Shahani BT,Kelly EB,Glasser S.Hemiplegicshoulder subluxation .Arch Phys Med Rehabil1981;62:519.

  • Zorowitz RD,Hughes MB,Idank D,IkaiT,Johnston MV.Shoulder pain and subluxationafter stroke: correlation or coincidence? Am JOccup Ther 1996;50:194-201.

  • Hecht JS.The role of spasticity in hemiplegicshoulder pain and what to do about it.In:57thAnnual Assembly of American Academy ofPhysical Medicine and Rehabilitation; Orlando,Florida; November17, 1995: 248-55.

  • Roy CW,Sanda MR,Harrison A,Marshall S. Thaeeffect of shoulder pain on outcome of acutehemiplegia.Clin Rehabil 1995;9:21-27.

  • www.ncbi.nlm.nih.gov/pubmed.

  • www.wikipedia.com


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  • Prevalence of Post Stroke Shoulder Subluxation and Pain

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Authors

Harpreet Kaur
CMCH, Ludhiana, India
Sandeep Singh Saini
College of Physiotherapy, CMCH, Ludhiana, India
Jeyaraj Durai
Department of Neurology, CMCH, Ludhiana, India
Prabhjot Kaur Saini
College of Nursing, DMCH, Ludhiana, India

Abstract


Objective: To study the occurrence of shoulder subluxation, shoulder pain in stroke patients and to identify its effect on daily life activities of the patient. Material and Method: Stroke patients from Department Of Physiotherapy and Department of Neurology, Christian Medical College and Hospital,Ludhiana from September to March 2012 were enrolled in the present study. All subjects were registered for demographic data including risk factors and type of stroke. They were assessed for functional ability and quality of life by using Barthel ADL Index(BI). The occurence of shoulder subluxation and shoulder pain were recorded and then were analyzed for the associated factors. Results: Of 100 stroke patients, 68 met the inclusion criteria,24/40 male and 19/28 female patients(63.2%) were found to have shoulder pain and 4/40 male and 3/28 female patients(10.2%) had shoulder subluxation. Shoulder pain was significantly more frequent than subjects with shoulder subluxation.35/68 patients(51.4%) were having infarction type of stroke and 33/68 patients(48.5%) were having hemmorhagic type.65 subjects were dependent on their relatives for daily life activities according to Barthel Index(BI). Conclusion: Post stroke shoulder pain and subluxation were common during the rehabilitation period.Shoulder pain significantly occurred within 6 months after stroke onset and increased risk in patients with shoulder subluxation.

Keywords


Shoulder Pain, Subluxation, Stroke and Rehabilitation

References