510 results match your criteria Shoulder and Hemiplegia


Systematic Review on Effectiveness of shoulder taping in Hemiplegia.

J Stroke Cerebrovasc Dis 2019 Apr 4. Epub 2019 Apr 4.

Department of Physiotherapy, School of Medicine College of Medicine and Health Sciences, University of Gondar and Gondar University specialized comprehensive hospital, Gondar, Ethiopia.

Background: Shoulder pain and subluxation are the commonly encountered problems among subjects with hemiplegia. Rehabilitating the shoulder following stroke is a challenging task among physiotherapists in rehabilitation set up. There is a need to validate the effectiveness of externally applied taping materials in hemiplegic shoulder. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2019.03.021DOI Listing
April 2019
2 Reads

Thrombolysis for atlantoaxial dislocation mimicking acute ischemic stroke: Case report and review.

Am J Emerg Med 2019 Mar 27. Epub 2019 Mar 27.

Stroke Center and Department of Neurology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taiwan; School of Medicine, Tzu Chi University, Hualien, Taiwan. Electronic address:

The frequency of stroke mimics among stroke patients has been reported to be up to 30%, and that in patients who receive thrombolytic therapy ranges between 1% and 16%. Atlantoaxial dislocation with myelopathy mimicking stroke is extremely rare. An 83-year-old man with a history of old cerebellar infarction presented to the emergency department with acute left hemiplegia after a chiropractic manipulation of the neck and back several hours before symptom onset. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.044DOI Listing
March 2019
2 Reads

The three-dimensional shoulder pain alignment (3D-SPA) mobilization improves pain-free shoulder range, functional reach and sleep following stroke: a pilot randomized control trial.

Disabil Rehabil 2019 Mar 23:1-12. Epub 2019 Mar 23.

a Rehabilitation Sciences Institute , University of Toronto , Toronto , Canada.

Background And Purpose: Following a stroke, three-dimensional clavicular/scapular/humeral joint rotations may become restricted and contribute to post-stroke shoulder pain. This study examined whether a treatment group provided with current standard treatment plus the proposed "Three-dimensional Shoulder Pain Alignment" mobilization protocol demonstrated improved pain-free shoulder range, functional reach and sleep compared to a control group provided with standard treatment alone.

Methods: In this double-blinded parallel-group randomized control trial, treatment and control subjects with moderate/severe post-stroke upper extremity impairment and shoulder pain were treated 3x/week for 4 weeks. Read More

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http://dx.doi.org/10.1080/09638288.2019.1585487DOI Listing
March 2019
1 Read

Characteristics of the shoulder in patients following acute stroke: a case series.

Top Stroke Rehabil 2019 Mar 20:1-8. Epub 2019 Mar 20.

a School of Physiotherapy, Faculty of Health Sciences , Curtin University , Perth , Australia.

Background: Stroke can result in pain and loss of motor control in the hemiplegic shoulder, and while prevention of secondary changes is likely to be the most effective management, there is limited evidence directing clinicians towards the most at-risk patients.

Objectives: The aim of this case series was to investigate the presentation of shoulder pain, motor impairment, shoulder passive range of motion (PROM) and alignment of the hemiplegic shoulder following acute stroke.

Methods: This study reported data that was collected as part of a pilot randomized controlled trial investigating kinesiology taping of the hemiplegic shoulder. Read More

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http://dx.doi.org/10.1080/10749357.2019.1590973DOI Listing
March 2019
2 Reads

Effects of fluoroscopy-guıded intraartıcular injectıon, suprascapular nerve block, and combınatıon therapy ın hemıplegıc shoulder paın: a prospective double-blınd, randomızed clınıcal study.

Neurol Sci 2019 Jan 28. Epub 2019 Jan 28.

Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, Faculty of Medicine, Marmara University, Mimar Sinan Caddesi No:41 Üst Kaynarca Fevzi Çakmak Mahallesi Pendik, Postal code 34906, Istanbul, Turkey.

Objective: To investigate the effect and superiority of fluoroscopy-guided intraarticular shoulder injection (IAI), suprascapular nerve block (SSNB), and combination treatment in hemiplegic shoulder pain (HSP).

Design: We included 30 patients diagnosed with HSP. Patients were divided into three groups: IAI, SSNB, and combination treatment. Read More

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http://dx.doi.org/10.1007/s10072-019-03733-6DOI Listing
January 2019
1 Read

Hemiplegic shoulder pain in people with stroke: present and the future.

Authors:
Praveen Kumar

Pain Manag 2019 03 25;9(2):107-110. Epub 2019 Jan 25.

Department of Allied Health Professions, University of the West of England, Bristol, England, UK.

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http://dx.doi.org/10.2217/pmt-2018-0075DOI Listing
March 2019
2 Reads

Cross-cultural adaptation and validation in the Italian population of the wolf motor function test in patients with stroke.

Funct Neurol 2018 Oct/Dec;33(4):229-253

Motor impairments of the upper extremities affect approximately 60% of stroke patients. Rehabilitation is extremely important and can make it possible to identify which manual function is causing difficulty for the patient and hindering daily activities. The Wolf Motor Function Test (WMFT) was recently highly recommended as one of several outcome measures that assess limitations of activities with a high level of psychometrics and clinical utility. Read More

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January 2019
13 Reads

Effect of Comprehensive Postural Instructions and Range of Motion Exercises Via Educational Videos on Motor Function and Shoulder Injury in Stroke Patients With Hemiplegia: A Preliminary Study.

J Manipulative Physiol Ther 2018 Oct 17;41(8):665-671. Epub 2018 Dec 17.

Department of Physical Medicine and Rehabilitation, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung City, Taiwan.

Objective: The purpose of this study was to investigate the effect of comprehensive postural instructions and range of motion (ROM) exercises via educational videos for shoulder injury prevention and functional improvement of the hemiplegic shoulder after acute stroke.

Methods: In this prospective cohort study, 48 subacute stroke patients with hemiplegia were enrolled and divided into 2 groups (23 in experimental group and 25 in control group). In the control group (n = 25), the patients performed conventional rehabilitation for 5 days per week. Read More

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http://dx.doi.org/10.1016/j.jmpt.2018.03.004DOI Listing
October 2018
5 Reads

Surgical Management of Spasticity of the Shoulder.

Authors:
Dan A Zlotolow

Hand Clin 2018 Nov 18;34(4):511-516. Epub 2018 Aug 18.

Department of Orthopaedics, The Hospital for Special Surgery, 535 East 70th Street, New York City, NY 10021, USA; Shriners Hospital for Children Philadelphia, 3551 North Broad Street, Philadelphia, PA 19140, USA. Electronic address:

Although spastic conditions often involve the shoulder, it is rare for surgical intervention to be required. In cases in which chemodenervation and therapy are insufficient to optimize the patient's function or minimize their care requirements, surgical options, such as tendon and joint releases, can be considered. Tendon transfers are rarely indicated. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07490712183006
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http://dx.doi.org/10.1016/j.hcl.2018.06.008DOI Listing
November 2018
32 Reads

Effects of shoulder strapping in patients with stroke: A randomised control trial.

S Afr J Physiother 2018 29;74(1):430. Epub 2018 Aug 29.

School of Public Health, University of the Witwatersrand, South Africa.

Background: Disability post stroke remains a global problem, with upper limb involvement playing a key role. Shoulder strapping is one of the techniques used clinically to address this.

Objectives: To compare the effect of two shoulder strapping techniques in patients with stroke. Read More

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http://www.sajp.co.za/index.php/SAJP/article/view/430
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http://dx.doi.org/10.4102/sajp.v74i1.430DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6131703PMC
August 2018
15 Reads

The long-term effects of hyaluronic acid on hemiplegic shoulder pain and injury in stroke patients: A randomized controlled study.

Medicine (Baltimore) 2018 Aug;97(35):e12078

Background: Hemiplegic shoulder pain (HSP) is one common complication after stroke. The interferes with the functionality of the affected shoulder in patients with stroke during rehabilitation. Hyaluronic acid (HA) could have positive effects on pain relief and shoulder motion in stroke patients with hemiplegic shoulders. Read More

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http://dx.doi.org/10.1097/MD.0000000000012078DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392532PMC
August 2018
21 Reads

Musculoskeletal Ultrasonography Assessment of Functional Magnetic Stimulation on the Effect of Glenohumeral Subluxation in Acute Poststroke Hemiplegic Patients.

Biomed Res Int 2018 3;2018:6085961. Epub 2018 Jul 3.

Department of Physical Medicine & Rehabilitation, The First Affiliated Hospital of Soochow University, Suzhou, China.

Background: Glenohumeral subluxation (GHS) is common in patients with acute hemiplegia caused by stroke. GHS and upper limb function are closely related.

Objective: Using musculoskeletal ultrasonography (MSUS) to objectively evaluate the efficacy of functional magnetic stimulation (FMS) in the treatment of GHS in acute hemiplegic patients after stroke. Read More

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https://www.hindawi.com/journals/bmri/2018/6085961/
Publisher Site
http://dx.doi.org/10.1155/2018/6085961DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051292PMC
January 2019
9 Reads

Effects of robot assistive upper extremity rehabilitation on motor and cognitive recovery, the quality of life, and activities of daily living in stroke patients.

J Back Musculoskelet Rehabil 2018 ;31(6):1059-1064

Objective: To evaluate the effects of robotic rehabilitation on upper extremity functions, cognitive development, and activities of daily living in patients with subacute stroke.

Methods: This study was set as prospective and controlled. Subjects with subacute stroke were allocated into two groups as the robotic and control groups. Read More

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http://dx.doi.org/10.3233/BMR-171015DOI Listing
January 2019
32 Reads

Whole body organization during a symmetric bimanual pick up task for children with unilateral cerebral palsy.

Gait Posture 2018 07 24;64:38-42. Epub 2018 May 24.

Department of Family, Nutrition, and Exercise Sciences, Queens College, City University of New York, 65-30 Kissena Blvd, Flushing, NY 11367, USA.

Background: Information on whole-body coordination involving bimanual coordination for children with unilateral spastic cerebral palsy (USCP) is limited.

Research Question: The purpose of the current study is to test the hypothesis that during a whole-body pick up task, children with USCP will organize their whole- body movements and bimanual coordination differently than typically-developing children (TDC).

Methods: Twelve children with USCP (average age: 8. Read More

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http://dx.doi.org/10.1016/j.gaitpost.2018.05.028DOI Listing
July 2018
6 Reads

Modification of Cerebellar Afferent Pathway in the Subacute Phase of Stroke.

J Stroke Cerebrovasc Dis 2018 Sep 22;27(9):2445-2452. Epub 2018 May 22.

Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Paldal-gu, Suwon, Republic of Korea. Electronic address:

Background: This study aims to identify the relationship between corticopontocerebellar tract (CPCT) and corticospinal tract (CST) integrity as well as motor function after stroke.

Materials And Methods: A total of 33 patients with stroke (18 left, 15 right hemispheric lesions) who underwent diffusion tensor imaging within 2 months of stroke onset and 17 age- and sex-matched healthy controls were retrospectively enrolled. Tract volume and the asymmetry index based on tract volume (AI) of the CST and CPCT were used to identify structural changes in individual tracts and the correlation between those tracts. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2018.04.039DOI Listing
September 2018
3 Reads

Rehabilitation of Upper Limb in Children with Acquired Brain Injury: A Preliminary Comparative Study.

J Healthc Eng 2018 14;2018:4208492. Epub 2018 Mar 14.

Scientific Institute IRCCS Eugenio Medea, Bosisio Parini, Lecco, Italy.

Acquired brain injuries (ABIs) can lead to a wide range of impairments, including weakness or paralysis on one side of the body known as hemiplegia. In hemiplegic patients, the rehabilitation of the upper limb skills is crucial, because the recovery has an immediate impact on patient quality of life. For this reason, several treatments were developed to flank physical therapy (PT) and improve functional recovery of the upper limbs. Read More

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http://dx.doi.org/10.1155/2018/4208492DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5872655PMC
March 2018
5 Reads

The feasibility, acceptability and preliminary efficacy of a low-cost, virtual-reality based, upper-limb stroke rehabilitation device: a mixed methods study.

Disabil Rehabil 2018 Apr 12:1-16. Epub 2018 Apr 12.

a Department of Health Sciences and Social Care , Brunel University London , Uxbridge , UK.

Purpose: To establish feasibility, acceptability, and preliminary efficacy of an adapted version of a commercially available, virtual-reality gaming system (the Personalised Stroke Therapy system) for upper-limb rehabilitation with community dwelling stroke-survivors.

Method: Twelve stroke-survivors (nine females, mean age 58 years, [standard deviation 7.1], median stroke chronicity 42 months [interquartile range 34. Read More

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https://www.tandfonline.com/doi/full/10.1080/09638288.2018.1
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http://dx.doi.org/10.1080/09638288.2018.1459881DOI Listing
April 2018
3 Reads

Dynamic Analysis of the Abnormal Isometric Strength Movement Pattern between Shoulder and Elbow Joint in Patients with Hemiplegia.

J Healthc Eng 2018 11;2018:1817485. Epub 2018 Feb 11.

Division of Intelligent and Biomechanical System, State Key Laboratory of Tribology, Tsinghua University, Haidian, Beijing, China.

Patients with hemiplegia usually have weak muscle selectivity and usually perform strength at a secondary joint (secondary strength) during performing a strength at one joint (primary strength). The abnormal strength pattern between shoulder and elbow joint has been analyzed by the maximum value while the performing process with strength changing from 0 to maximum then to 0 was a dynamic process. The objective of this study was to develop a method to dynamically analyze the strength changing process. Read More

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https://www.hindawi.com/journals/jhe/2018/1817485/
Publisher Site
http://dx.doi.org/10.1155/2018/1817485DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5827879PMC
February 2018
9 Reads

Can the integrity of the corticospinal tract predict the long-term motor outcome in poststroke hemiplegic patients?

Neuroreport 2018 04;29(6):453-458

Department of Rehabilitation Medicine.

This study aimed to investigate the long-term motor outcome according to early diffusion tensor tractography findings for the affected corticospinal tract (CST) in poststroke hemiplegic patients. A total of 48 supratentorial subacute patients after stroke were enrolled, who had a brain MRI scan within 6 weeks from onset, and no stroke recurrence reported within the 2-year follow-up period. Diffusion tensor images were obtained and CSTs were reconstructed. Read More

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http://dx.doi.org/10.1097/WNR.0000000000000994DOI Listing
April 2018
18 Reads

Cervico-shoulder dystonia following lateral medullary infarction: a case report and review of the literature.

J Med Case Rep 2018 Feb 10;12(1):34. Epub 2018 Feb 10.

Department of Neurology, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima, Tokyo, 177-8521, Japan.

Background: Secondary cervical dystonia is induced by organic brain lesions involving the basal ganglia, thalamus, cerebellum, and brain stem. It is extremely rare to see cervical dystonia induced by a medullary lesion.

Case Presentation: We report a case of an 86-year-old Japanese woman who developed cervical dystonia following lateral medullary infarction. Read More

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https://jmedicalcasereports.biomedcentral.com/articles/10.11
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http://dx.doi.org/10.1186/s13256-018-1561-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5807857PMC
February 2018
9 Reads

Immediate effects of scapular stabilizing exercise in chronic stroke patient with winging and elevated scapula: a case study.

J Phys Ther Sci 2018 Jan 27;30(1):190-193. Epub 2018 Jan 27.

Department of Physical Therapy, Dongnam Health University: 50 Cheoncheon-ro, 74beon-gil, Jeongja sam-dong, Jangan-gu, Suwon, Gyeonggi-do, Republic of Korea.

[Purpose] The purpose of this study was to investigate the effect of scapular stabilizing exercise in a stroke patient with winging and elevated scapula. [Subject and Methods] The subject was a 46-year-old female with a history of stroke. She had right side hemiplegia with winging and elevated scapula on the right side, and had compensatory motions of the neck and shoulder when using the paretic upper extremity. Read More

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https://www.jstage.jst.go.jp/article/jpts/30/1/30_jpts-2017-
Publisher Site
http://dx.doi.org/10.1589/jpts.30.190DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788805PMC
January 2018
5 Reads

Musculoskeletal ultrasound-guided physical therapy in hemiplegic shoulder pain: A CARE-compliant case report.

Medicine (Baltimore) 2017 Dec;96(50):e9188

School of Rehabilitation Medicine, Nanjing Medical University, Nanjing, China.

Rationale: The use of musculoskeletal ultrasound (MU) method in the diagnosis of shoulder pain and injury and guidance of injection and pain blocking has been established. However, the treatment of posthemiplegic shoulder pain (HSP) with MU-guided precise physical therapy has not been reported.

Patient Concerns: Here, we present the first case report of a 64-year-old man with a right basal ganglia hemorrhage. Read More

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http://Insights.ovid.com/crossref?an=00005792-201712150-0008
Publisher Site
http://dx.doi.org/10.1097/MD.0000000000009188DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5815742PMC
December 2017
8 Reads

Mirror Box Training in Hemiplegic Stroke Patients Affects Body Representation.

Front Hum Neurosci 2017 4;11:617. Epub 2018 Jan 4.

Department of Psychology, Università degli Studi di Milano-Bicocca, Milan, Italy.

The brain integrates multisensory inputs coming from the body (i.e., proprioception, tactile sensations) and the world that surrounds it (e. Read More

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http://dx.doi.org/10.3389/fnhum.2017.00617DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5758498PMC
January 2018
7 Reads

Short- and medium-term effect of kinesio taping or electrical stimulation in hemiplegic shoulder pain prevention: A randomized controlled pilot trial.

NeuroRehabilitation 2017 ;41(4):801-810

Department of Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, University of Sevilla, Sevilla, Spain.

Objective: To compare the short and medium-term effectiveness of combining Kinesio Tape (KT) or neuromuscular electrical stimulation (NMES) with a conventional approach to prevent shoulder pain after stroke.

Methods: Thirty-one first-time stroke survivors (58.06% females) were recruited and randomly assigned to one group; Control (n = 10), KT (n = 11), or NMES (n = 10). Read More

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http://dx.doi.org/10.3233/NRE-172190DOI Listing
June 2018
23 Reads

Sonographic findings of painful hemiplegic shoulder after stroke.

Authors:
Pei-Hsin Lin

J Chin Med Assoc 2018 Jul 6;81(7):657-661. Epub 2017 Dec 6.

Rehabilitation and Technical Aid Center, Taipei Veterans General Hospital, Taipei, Taiwan, ROC. Electronic address:

Background: Hemiplegic shoulder pain is common in stroke patients and can influence rehabilitation outcome. The underlying pathology can be various: in addition to impaired motor control and altered peripheral and central nervous activity, soft tissue lesions may also play an important role. It remains unclear how these pathologies may interact or correlate with each other. Read More

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http://dx.doi.org/10.1016/j.jcma.2017.07.018DOI Listing
July 2018
4 Reads

Effect of EMG-triggered neuromuscular electrical stimulation with bilateral arm training on hemiplegic shoulder pain and arm function after stroke: a randomized controlled trial.

J Neuroeng Rehabil 2017 Nov 28;14(1):122. Epub 2017 Nov 28.

Department of Physical Therapy and Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, Taoyuan, Taiwan.

Background: Hemiplegic shoulder pain is a frequent complication after stroke, leading to limited use of the affected arm. Neuromuscular electrical stimulation (NMES) and transcutaneous electrical nerve stimulation (TENS) are two widely used interventions to reduce pain, but the comparative efficacy of these two modalities remains uncertain. The purpose of this research was to compare the immediate and retained effects of EMG-triggered NMES and TENS, both in combination with bilateral arm training, on hemiplegic shoulder pain and arm function of stroke patients. Read More

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http://dx.doi.org/10.1186/s12984-017-0332-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5706163PMC
November 2017
28 Reads

Fully Implantable Peripheral Nerve Stimulation for Hemiplegic Shoulder Pain: A Multi-Site Case Series With Two-Year Follow-Up.

Neuromodulation 2018 Apr 22;21(3):290-295. Epub 2017 Nov 22.

MetroHealth Rehabilitation Institute of Ohio, MetroHealth Medical Center, Cleveland, OH, USA.

Objective: To explore the feasibility and safety of a single-lead, fully implantable peripheral nerve stimulation system for the treatment of chronic shoulder pain in stroke survivors.

Participants: Participants with moderate to severe shoulder pain not responsive to conservative therapies for six months.

Methods: During the trial phase, which included a blinded sham introductory period, a percutaneous single-lead peripheral nerve stimulation system was implanted to stimulate the axillary nerve of the affected shoulder. Read More

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http://dx.doi.org/10.1111/ner.12726DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895530PMC
April 2018
19 Reads

The effectiveness of 2 consecutive intra-articular polydeoxyribonucleotide injections compared with intra-articular triamcinolone for hemiplegic shoulder pain: A STROBE-complaint retrospective study.

Medicine (Baltimore) 2017 Nov;96(46):e8741

aDepartment of Rehabilitation Medicine, Daegu Fatima Hospital bDeparment of Phamacology, Kyungpook National Univeresity School of Medicine, Daegu, South Korea cMaster of Science in Management, University of Liverpool, Liverpool, UK.

The aim of this study was to investigate the effects of intra-articular injection of polydeoxyribonucleotide (PDRN), compared with intraarticular triamcinolone (TA) injection, in subacute stroke patients with hemiplegic shoulder pain (HSP).Participants were subacute stroke patients with HSP who had undergone 2 consecutive intra-articular injections of TA or PDRN.Numeric rating scale (NRS) and passive range of motion (PROM) of hemiplegic shoulder were evaluated until 4 weeks after 2nd injection. Read More

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http://dx.doi.org/10.1097/MD.0000000000008741DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5704868PMC
November 2017
33 Reads

Deficient Pain Modulation in Patients with Chronic Hemiplegic Shoulder Pain.

Pain Pract 2018 07 11;18(6):716-728. Epub 2018 Jan 11.

Department of Physical Therapy, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

Background: Hemiplegic shoulder pain (HSP) following stroke significantly affects the individual's function and quality of life. The mechanism of HSP is not clearly understood; hence, it is unclear why HSP resolves spontaneously or following routine care in some patients, while in others it becomes persistent. The aim was therefore to study whether HSP is associated with deficient pain modulation. Read More

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http://dx.doi.org/10.1111/papr.12658DOI Listing
July 2018
2 Reads

Coupled Bimanual Training Using a Non-Powered Device for Individuals with Severe Hemiparesis: A Pilot Study.

Int J Phys Med Rehabil 2017 Jun 28;5(3). Epub 2017 Apr 28.

Department of Neurosurgery, Mount Sinai School of Medicine, New York, NY, USA.

Background: Few options exist for training arm movements in participants with severe post-stroke hemiparesis who have little active range of motion. The purpose of this study was to test the safety and feasibility of training with a non-powered device, the Bimanual Arm Trainer (BAT), to facilitate motor recovery in individuals with severe hemiparesis. The BAT enabled coupled bimanual training of shoulder external rotation, which is reduced in individuals with severe post-stroke hemiplegia. Read More

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http://dx.doi.org/10.4172/2329-9096.1000404DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5636010PMC
June 2017
7 Reads

Sonographic detection of inferior subluxation in post-stroke hemiplegic shoulders.

J Ultrason 2017 Jun 30;17(69):106-112. Epub 2017 Jun 30.

Departments of Radiology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria.

Aim Of The Study: To evaluate the usefulness of ultrasonographic acromion-greater tuberosity distance measurement and Shoulder ratio in detecting post-stroke inferior shoulder subluxation.

Material And Methods: Forty-five hemiplegic stroke patients and 45 controls underwent shoulder sonography to measure their acromion-greater tuberosity distance. Side-to-side acromion-greater tuberosity distance differences and Shoulder ratios were derived from the acromion-greater tuberosity distance values. Read More

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http://jultrason.pl/index.php/issues/volume-17-no-69/sonogra
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http://dx.doi.org/10.15557/JoU.2017.0015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516080PMC
June 2017
10 Reads

Evaluating an open-loop functional electrical stimulation controller for holding the shoulder and elbow configuration of a paralyzed arm.

IEEE Int Conf Rehabil Robot 2017 07;2017:789-794

Functional electrical stimulation (FES) is a promising solution for restoring functional motion to individuals with paralysis, but the potential for achieving full-arm reaching motions with FES for various desired tasks has not been realized. We present an open-loop controller capable of calculating and applying the necessary muscle stimulations to hold the wrist of an individual with high tetraplegia at any desired position. We used the controller to hold the wrist at a series of static positions. Read More

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https://ieeexplore.ieee.org/document/8009344/
Publisher Site
http://dx.doi.org/10.1109/ICORR.2017.8009344DOI Listing
July 2017
7 Reads

Effects of high-frequency repetitive transcranial magnetic stimulation on reducing hemiplegic shoulder pain in patients with chronic stoke: a randomized controlled trial.

Int J Neurosci 2018 Feb 2;128(2):110-116. Epub 2017 Oct 2.

a Department of Physical Medicine and Rehabilitation , College of Medicine, Yeungnam University , Namku , Daegu , Republic of Korea.

Objective: To examine whether high-frequency (10 Hz) repetitive transcranial magnetic stimulation (rTMS), applied over the primary motor cortex of the affected hemisphere, could be used to manage hemiplegic shoulder pain (HSP).

Methods: Twenty-four chronic stroke patients with chronic HSP, randomly assigned into the rTMS group (10 sessions of high-frequency stimulation) or the sham group (sham stimulation), were performed. The Numeric Rating Scale (NRS) was used to evaluate the intensity of pain at pretreatment, and at 1 day, and 1, 2 and 4 weeks after treatment. Read More

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http://dx.doi.org/10.1080/00207454.2017.1367682DOI Listing
February 2018
5 Reads

Suprascapular nerve block for the treatment of hemiplegic shoulder pain in patients with long-term chronic stroke: a pilot study.

Neurol Sci 2017 Sep 11;38(9):1697-1701. Epub 2017 Jul 11.

Anesthesia and Intensive Care Unit, Department of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, Verona, Italy.

Hemiplegic shoulder pain is the most common pain condition after stroke. Suprascapular nerve block is an effective treatment for shoulder pain. The aim of this pilot study was to evaluate the effects of suprascapular nerve block on pain intensity, spasticity, shoulder passive range of motion, and quality of life in long-term chronic stroke patients with hemiplegic shoulder pain. Read More

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http://dx.doi.org/10.1007/s10072-017-3057-8DOI Listing
September 2017
63 Reads

A randomized controlled trial of a modified wheelchair arm-support to reduce shoulder pain in stroke patients.

Clin Rehabil 2018 Jan 19;32(1):37-47. Epub 2017 Jun 19.

1 Department of Rehabilitation, The 2nd Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China.

Objective: To evaluate the effect of modified wheelchair arm-support to mitigate hemiplegic shoulder pain and reduce pain frequency in stroke patients.

Design: A single-blind randomized controlled trial using computer-generated simple randomization.

Setting: Participants recruited from inpatients at the Guangdong Provincial Hospital of Chinese Medicine. Read More

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http://dx.doi.org/10.1177/0269215517714830DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5751850PMC
January 2018
12 Reads

Sonographic Evaluation of Structural Changes in Post-Stroke Hemiplegic Shoulders.

Pol J Radiol 2017 13;82:141-148. Epub 2017 Mar 13.

Department of Internal Medicine, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun, Nigeria.

Background: Stroke and hemiplegia are frequent complications of stroke. This study was performed to sonographically evaluate post-stroke hemiplegic shoulders and explore possible relationship(s) between the sonographic findings and clinical indices.

Material/methods: Forty-five stroke patients and 45 age- and sex-matched controls were recruited. Read More

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http://dx.doi.org/10.12659/PJR.899684DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5360429PMC
March 2017
15 Reads

Effectiveness of neuromuscular electrical stimulation for management of shoulder subluxation post-stroke: a systematic review with meta-analysis.

Clin Rehabil 2017 Nov 27;31(11):1431-1444. Epub 2017 Mar 27.

2 Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, California, USA.

Objectives: To examine the effectiveness of neuromuscular electrical stimulation (NMES) for the management of shoulder subluxation after stroke including assessment of short (1 hour or less) and long (more than one hour) daily treatment duration.

Data Sources: MEDLINE, CENTRAL, CINAHL, WOS, KoreaMed, RISS and reference lists from inception to January 2017 Review methods: We considered randomized controlled trials that reported neuromuscular electrical stimulation for the treatment of shoulder subluxation post-stroke. Two reviewers independently selected trials for inclusion, assessed trial quality, and extracted data. Read More

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http://journals.sagepub.com/doi/10.1177/0269215517700696
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http://dx.doi.org/10.1177/0269215517700696DOI Listing
November 2017
10 Reads

Outcomes of Rotator Cuff Repair in Patients with Comorbid Disability in the Extremities.

Clin Orthop Surg 2017 Mar 13;9(1):77-82. Epub 2017 Feb 13.

Department of Orthopaedic Surgery, Kyung Hee University College of Medicine, Seoul, Korea.

Background: Rehabilitation and overuse of the shoulder after rotator cuff repair are a concern in patients with comorbid disability in other extremities. Improvement of outcomes can be hampered in this situation. This study was to describe the clinical outcomes of rotator cuff repair in patients with comorbid disability in other extremities. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.4055/cios.2017.9
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http://dx.doi.org/10.4055/cios.2017.9.1.77DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5334031PMC
March 2017
11 Reads

Effects of Kinesio taping for stroke patients with hemiplegic shoulder pain: A double-blind, randomized, placebo-controlled study.

J Rehabil Med 2017 Mar;49(3):208-215

Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, , Taiwan ROC.

Objective: To investigate the effects of Kinesio taping for stroke patients with hemiplegic shoulder pain.

Design: Double-blind, placebo-controlled clinical trial.

Subjects: Twenty-one stroke patients with hemiplegic shoulder pain within 6 months of stroke onset in the rehabilitation ward of a medical university hospital in Taiwan. Read More

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https://www.medicaljournals.se/jrm/content/?doi=10.2340/1650
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http://dx.doi.org/10.2340/16501977-2197DOI Listing
March 2017
37 Reads

A randomized controlled trial on the immediate and long-term effects of arm slings on shoulder subluxation in stroke patients.

Eur J Phys Rehabil Med 2017 Jun 30;53(3):400-409. Epub 2017 Jan 30.

Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium.

Background: Arm slings are often used in clinical practice to support the hemiplegic arm aiming to prevent or treat glenohumeral subluxation. Evidence supporting the corrective effect of slings on subluxation is scarce and long-term studies are lacking.

Aim: The aim of this study was to determine both the immediate and long-term effect on acromiohumeral distance using the Actimove® sling and Shoulderlift and to determine the effect of slings on pain and passive range of motion of the shoulder in stroke patients with glenohumeral subluxation. Read More

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http://www.minervamedica.it/index2.php?show=R33Y2017N03A0400
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http://dx.doi.org/10.23736/S1973-9087.17.04368-4DOI Listing
June 2017
34 Reads

The effect of an arm sling used for shoulder support on gait efficiency in hemiplegic patients with stroke using walking aids.

Eur J Phys Rehabil Med 2017 Jun 24;53(3):410-415. Epub 2017 Jan 24.

Department of Occupational and Environmental Medicine, College of Medicine, The Catholic University of Korea, Seoul, South Korea -

Background: The effects of an arm sling on the physiological costs of walking are not known. Even though a previous study reported that an arm sling can improve gait efficiency, its entrance criteria was only hemiparetic patients able to walk without walking aids independently.

Aim: The aim of this study was to investigate the effect of shoulder support by an arm sling on gait efficiency in hemiplegic stroke patients using walking aids. Read More

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http://dx.doi.org/10.23736/S1973-9087.17.04425-2DOI Listing
June 2017
6 Reads

The Effect of Peripheral Nerve Stimulation on Shoulder Biomechanics: A Randomized Controlled Trial in Comparison to Physical Therapy.

Am J Phys Med Rehabil 2017 Mar;96(3):191-198

From the MetroHealth Rehabilitation Institute, MetroHealth Medical Center, Cleveland, Ohio (RDW, JSK, JC); Department of Physical Medicine and Rehabilitation, Case Western Reserve University, Cleveland, Ohio (RDW, JSK, JC); Cleveland Functional Electrical Stimulation Center, Cleveland, Ohio (RDW, JSK, JC); Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio (JC); and SPR Therapeutics, LLC, Cleveland, Ohio (MEB).

Objective: To establish the effects on shoulder biomechanics from a peripheral nerve stimulation (PNS) treatment compared to physical therapy (PT) in stroke survivors with chronic hemiplegic shoulder pain.

Design: Single-site, pilot, randomized controlled trial for adults with chronic shoulder pain after stroke. Participants were randomized to receive a 3-week treatment of single-lead PNS or physical therapy (PT). Read More

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http://dx.doi.org/10.1097/PHM.0000000000000677DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5321785PMC
March 2017
28 Reads

The effects of ultrasound-guided corticosteroid injection for the treatment of hemiplegic shoulder pain on depression and anxiety in patients with chronic stroke.

Authors:
Min Cheol Chang

Int J Neurosci 2017 Nov 25;127(11):958-964. Epub 2017 Jan 25.

a Department of Physical Medicine and Rehabilitation , College of Medicine, Yeungnam University , Daegu , Republic of Korea.

Purpose: We attempted to investigate whether ultrasound (US)-guided intra-articular or subacromial bursa corticosteroid injections can potentially influence the severity of depression and anxiety in patients with chronic stroke with hemiplegic shoulder pain (HSP).

Methods: Thirty patients with chronic stroke with HSP received US-guided corticosteroid injections. Numeric rating scale (NRS) scores, passive shoulder range of motion (ROM), Beck Depression Inventory (BDI) scores and Spielberger State-Trait Anxiety Inventory (STAI) scores were evaluated before the injection, and one and two months after the injection. Read More

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http://dx.doi.org/10.1080/00207454.2017.1281274DOI Listing
November 2017
10 Reads

Clinical Case of the Month: A 49 Year-Old Man Who Presents with Left Sided Weakness: An Update on Ischemic Stroke.

J La State Med Soc 2016 Nov-Dec;168(6):206-214. Epub 2016 Dec 15.

Department of Internal Medicine at Louisiana State University Health Sciences Center in New Orleans, LA.

A 49 year-old man with a past medical history significant for essential hypertension, hyperlipidemia, and coronary artery disease status post percutaneous coronary intervention and stent placement in the right coronary artery in 2010 presented for evaluation of left hemiplegia. He was feeling well until three hours prior to presentation, at which time he fell while walking from his bedroom into the kitchen. After falling, he noticed that his left upper and lower extremities felt weak. Read More

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September 2017
3 Reads

The effects of hyaluronic acid on hemiplegic shoulder injury and pain in patients with subacute stroke: A randomized controlled pilot study.

Medicine (Baltimore) 2016 Dec;95(49):e5547

aDepartment of Physical Medicine and Rehabilitation bDepartment of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.

Background: Hemiplegic shoulder pain (HSP) is one of the most common comorbidities in stroke patients with flaccid shoulders. The pain limits functional motor recovery and affects the activities of daily living after acute stroke. This study investigated the effects of hyaluronic acid (HA) injection on pain reduction and motor function in subacute stroke patients with HSP and injury. Read More

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http://dx.doi.org/10.1097/MD.0000000000005547DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5266025PMC
December 2016
56 Reads

Ability of electrical stimulation therapy to improve the effectiveness of robotic training for paretic upper limbs in patients with stroke.

Med Eng Phys 2016 11 13;38(11):1172-1175. Epub 2016 Aug 13.

Fujita Memorial Nanakuri Institute, Fujita Health University, 423, Oodori-cho, Tsu, Mie 514-1296, Japan; Fujita Health University Nanakuri Memorial Hospital, 424-1, Oodori-cho, Tsu, Mie 514-1295, Japan; Department of Rehabilitation Medicine II, School of Medicine, Fujita Health University, 424-1, Oodori-cho, Tsu, Mie 514-1296, Japan . Electronic address:

We investigated whether untriggered neuromuscular electrical stimulation (NMES) can increase the effectiveness of shoulder and elbow robotic training in patients with hemiparesis. Thirty subacute stroke patients were randomly equally allocated to robot only (RO) and robot and electrical stimulation (RE) groups. During training, shoulder and elbow movements were trained by operating the robotic arm with the paretic arm, and the robotic device helped to move the arm. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S13504533163015
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http://dx.doi.org/10.1016/j.medengphy.2016.07.010DOI Listing
November 2016
8 Reads

Neuro-fuzzy models for hand movements induced by functional electrical stimulation in able-bodied and hemiplegic subjects.

Med Eng Phys 2016 11 23;38(11):1214-1222. Epub 2016 Jun 23.

TECNALIA Research & Innovation, Health Division, Mikeletegi Pasealekua 1-3, 20009 Donostia-San Sebastián, Spain . Electronic address:

Functional Electrical Stimulation (FES) may be effective as a therapeutic treatment for improving functional reaching and grasping. Upper-limb FES models for predicting joint torques/angles from stimulation parameters can be useful to support the iterative design and development of neuroprostheses. Most such models focused on shoulder or elbow joints and were defined for fixed electrode configurations. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S13504533163012
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http://dx.doi.org/10.1016/j.medengphy.2016.06.008DOI Listing
November 2016
3 Reads

Who May Benefit From Armeo Power Treatment? A Neurophysiological Approach to Predict Neurorehabilitation Outcomes.

PM R 2016 10 20;8(10):971-978. Epub 2016 Feb 20.

IRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.

Background: The Armeo Power, a rehabilitation exoskeleton that allows early treatment of motor disabilities, provides intelligent arm support in a large 3-dimensional work space, thus enabling patients to perform intensive, repetitive, and goal-oriented exercises. This device could efficiently induce new connections and facilitate plasticity phenomena potentiation. Knowledge of the potential brain plasticity reservoir after brain damage constitutes a prerequisite for an optimal rehabilitation strategy. Read More

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http://dx.doi.org/10.1016/j.pmrj.2016.02.004DOI Listing
October 2016
14 Reads

Portable Myoelectric Brace Use Increases Upper Extremity Recovery and Participation But Does Not Impact Kinematics in Chronic, Poststroke Hemiparesis.

J Mot Behav 2017 Jan-Feb;49(1):46-54. Epub 2016 Oct 17.

f Better Rehabilitation and Assessment for Improved Neurorecovery Laboratory , Division of Occupational Therapy, School of Health and Rehabilitation Sciences, The Ohio State University Medical Center , Columbus , Ohio , USA.

The authors examined the efficacy of an 8-week regimen combining repetitive task-specific practice (RTP) with a myoelectric brace (RTP+Myomo) on paretic upper extremity (UE; use in valued activities, perceived recovery, and reaching kinematics) in 12 subjects (4 men; M age = 53.5 years; mean time poststroke = 61.7 months). Read More

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http://dx.doi.org/10.1080/00222895.2016.1152220DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5470353PMC
August 2017
23 Reads

The effect of Monkey Chair and Band exercise system on shoulder range of motion and pain in post-stroke patients with hemiplegia.

J Phys Ther Sci 2016 Aug 31;28(8):2232-7. Epub 2016 Aug 31.

Department of Physical Medicine and Rehabilitation, College of Medical School, Hanyang University, Republic of Korea.

[Purpose] A simple rehabilitation device system for strengthening upper limb muscles in hemiplegic patients was developed. This system, which stimulates active exercise while accounting for intensity, time, and frequency, was examined in the present pilot study. [Subjects and Methods] Patients had shoulder pain and limited shoulder movement. Read More

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https://www.jstage.jst.go.jp/article/jpts/28/8/28_jpts-2016-
Publisher Site
http://dx.doi.org/10.1589/jpts.28.2232DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5011567PMC
August 2016
5 Reads