549 results match your criteria Shoulder and Hemiplegia


Effect of arm sling application on gait and balance in patients with post-stroke hemiplegia: a systematic review and meta-analysis.

Sci Rep 2021 May 27;11(1):11161. Epub 2021 May 27.

Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, No. 291 Zhongzheng Road, Zhonghe District, New Taipei City, 235, Taiwan.

Hemiplegic shoulder pain and impairment are common poststroke outcomes, for which arm slings constitute long-used treatments. Although multiple studies have suggested association between gait pattern and sling application, results have varied. Accordingly, we conducted this meta-analysis to determine how arm sling use affects the gait and balance of patients with poststroke hemiplegia. Read More

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The Effects of Upper Extremity Isokinetic Strengthening in Post-Stroke Hemiplegia: A Randomized Controlled Trial.

J Stroke Cerebrovasc Dis 2021 Jun 23;30(6):105729. Epub 2021 Mar 23.

Cukurova University Faculty of Medicine, Department of Physiology, Adana, Turkey. Electronic address:

Objective: The aim of this study was to evaluate the efficacy of isokinetic strengthening in paretic upper extremity among patients with post-stroke hemiplegia.

Methods: Hemiplegic patients with at least 6 months post-stroke and those with arm and hand Brunnstrom motor recovery stage ≥ 3 were included to the study. Patients were randomized into two groups. Read More

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Interventions for Post-Stroke Shoulder Pain: An Overview of Systematic Reviews.

Int J Gen Med 2020 7;13:1411-1426. Epub 2020 Dec 7.

Rehabilitation, Aged and Extended Care, Flinders Health and Medical Research Institute, Flinders University, Adelaide, South Australia, Australia.

Background: Shoulder pain following stroke leads to poorer quality of life and daily functioning. Whilst many treatment approaches exist, there is currently no systematic overview of the evidence base for these. This review addressed the question "What is the evidence for interventions for treating hemiplegic shoulder pain?"

Methods: An overview of systematic reviews was performed according to PROSPERO protocol (CRD42020140521). Read More

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December 2020

Management of hemiplegic shoulder pain: A UK-wide online survey of physiotherapy and occupational therapy practice.

Physiother Res Int 2021 Jan 15;26(1):e1874. Epub 2020 Aug 15.

Department of Allied Health Professions, Faculty of Health and Applied Sciences, University of West of England, Bristol, UK.

Purpose: The purpose of this study was to explore, via an online survey, how therapists assess, diagnose and manage hemiplegic shoulder pain (HSP) in the United Kingdom. The objectives were to explore (1) how therapists assessed HSP, (2) what the aims of therapy were, (3) what interventions therapists used, (4) what outcome measures therapists used, (5) what training of HSP therapists had, and (6) what barriers therapists experienced in the management of HSP.

Methods: An online survey was distributed to physiotherapists (PTs) and occupational therapists (OTs) working in stroke rehabilitation via professional bodies' interest groups. Read More

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January 2021

The Upper Extremity Flexion Synergy Is Minimally Expressed in Young Individuals With Unilateral Cerebral Palsy Following an Early Brain Injury.

Front Hum Neurosci 2020 16;14:590198. Epub 2020 Oct 16.

Department of Biomedical Engineering, Northwestern University, Evanston, IL, United States.

Hemiparetic stroke in adulthood often results in the grouped movement pattern of the upper extremity flexion synergy thought to arise from an increased reliance on cortico-reticulospinal pathways due to a loss of lateral corticospinal projections. It is well established that the flexion synergy induces reaching constraints in individuals with adult-onset hemiplegia. The expression of the flexion synergy in individuals with brain injuries onset earlier in the lifespan is currently unknown. Read More

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October 2020

Sonographic Predictors in Patients with Hemiplegic Shoulder Pain: A Cross-Sectional Study.

J Stroke Cerebrovasc Dis 2020 Nov 20;29(11):105170. Epub 2020 Aug 20.

Gaziler Physical and Rehabilitation Medicine Training and Research Hospital, Ankara, Turkey. Phone: +903122911403.

Objectives: To evaluate the sonographic findings of soft tissues more comprehensively, to investigate the relationship between sonographic pathologies and clinical features, and to determine the predicted factors that may interfere with the most common sonographic findings in patients with hemplegic shoulder pain (HSP) .

Methods: Sixty-four consecutive stroke patients with HSP admitted to inpatient clinic were included in this cross-sectional study. Demographic, clinical, and sonographic findings were recorded. Read More

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November 2020

Efficacy of platelet-rich plasma in the treatment of hemiplegic shoulder pain.

Neurol Sci 2021 May 29;42(5):1977-1986. Epub 2020 Sep 29.

Department of Physical Medicine and Rehabilitation, Ege University Faculty of Medicine, Bornova, Izmir, Turkey.

Objective: The aim of this study was to examine the effects of platelet-rich plasma (PRP) on pain and functional outcomes in patients with hemiplegic shoulder pain. We compared the effects of PRP against saline solution by designing a double blind, randomized, prospective study.

Design: Forty-four patients with hemiplegia were included in this study. Read More

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The management of hemiplegic shoulder pain in stroke subjects undergoing pulsed radiofrequency treatment of the suprascapular and axillary nerves: a pilot study.

Ann Palliat Med 2020 Sep 15;9(5):3357-3365. Epub 2020 Sep 15.

Analgesia Department of Shandong Provincial Hospital Affiliated to the Shandong First Medical University, Jinan, China.

Background: Our trial aims to provide evidence for pain management and rehabilitation in patients with hemiplegic shoulder pain (HSP). HSP is one of the most common pains and disabilities occurring after a stroke. With accumulating evidence, the management of the suprascapular nerve (SSN) or axillary nerve (AN) might effectively relieve the pain and disability associated with HSP. Read More

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September 2020

[Analysis of a Spontaneous Spinal Epidural Hematoma Mimicking Cerebral Infarction:A Case Report and Review of the Literatures].

No Shinkei Geka 2020 Aug;48(8):683-690

Department of Neurosurgery, Juntendo University Shizuoka Hospital.

Spontaneous spinal epidural hematoma is a rare disease, and the critical form may mimic cerebral infarction in the acute stage. Consequently, misdiagnosis of a cerebral infarction may result in unnecessary antithrombotic therapy. The present study investigated 19 cases of spontaneous spinal epidural hematoma first diagnosed as cerebral infarctions and treated with antithrombotic therapy. Read More

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Post-stroke complex regional pain syndrome and related factors: Experiences from a tertiary rehabilitation center.

J Stroke Cerebrovasc Dis 2020 Sep 3;29(9):104995. Epub 2020 Jul 3.

Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Türkocağı street No:3, Sıhhiye, Ankara, Turkey.

Objective: In this study, it is aimed to determine the risk factors associated with CRPS after stroke and the clinical parameters of the patients and the treatment agents used for CPRS METHOD: 213 hemiplegic patients with CRPS diagnosed in Group 1 and 213 hemiplegic patients without CRPS in group 2 (control group) were included in the study designed retrospectively. Demographic data of the patients, Brunnstrom stage, Modified Ashworth scale, Barthel index were recorded from patients files. Associated risk faktors with CRPS such as Shoulder subluxation, adhesive capsulitis, fracture, deep vein thrombosis, spasticity, neglect, visual field defect, heterotopic ossification, entrapment neuropathies, brachial plexus damage, pressure wound, lower respiratory tract infection (LRTI), urinary tract infection, epilepsy, and depression were questioned. Read More

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September 2020

Predictors of the effect of an arm sling on gait efficiency in stroke patients with shoulder subluxation: a pre-post design clinical trial.

Physiother Theory Pract 2020 Aug 2:1-8. Epub 2020 Aug 2.

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

Background: The predictors affecting the gait efficiency were not known for the arm sling, including general and stroke-related characteristics.

Purpose: This study investigated the predictors of gait efficiency when walking with and without an arm sling in individuals with hemiplegia with shoulder subluxation.

Methods: A total of 57 individuals with shoulder subluxation were recruited. Read More

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Incidence, Prevalence, and Risk Factors of Hemiplegic Shoulder Pain: A Systematic Review.

Int J Environ Res Public Health 2020 07 9;17(14). Epub 2020 Jul 9.

Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia.

The current systematic review aimed to investigate the incidence, prevalence, and risk factors causing hemiplegic shoulder pain (HSP) after stroke. Two independent authors screened titles and abstracts for the eligibility of the included studies in the electronic databases PubMed and Web of Science. Studies which reported the incidence, prevalence, and risk factors of HSP following stroke were included. Read More

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A spontaneous cervical epidural hematoma mimicking a stroke - A case report.

Surg Neurol Int 2020 20;11:157. Epub 2020 Jun 20.

Department of Neurosurgery, Centro Hospitalar Universitario do Algarve, Rua Leao Penedo, Faro, Portugal.

Background: A spontaneous cervical epidural hematoma (SCEH) is a rare occurrence. It usually presents with quadriparesis, but it may present with hemiparesis or hemiplegia and can easily be misdiagnosed as stroke. We present a case of stroke mimicking SCEH with hemiparesis worsened after tissue plasminogen activator therapy (tPA) followed by emergency cervical decompression laminectomy. Read More

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Effectiveness of Suprascapular Nerve Pulsed Radiofrequency Treatment for Hemiplegic Shoulder Pain: A Randomized-Controlled Trial.

Pain Physician 2020 06;23(3):245-252

Gülhane Military Medical Academy, Department of Physical Medicine and Rehabilitation, Turkish Armed Forces Rehabilitation Center, Ankara, Turkey.

Background: Hemiplegic shoulder pain is one of the most common complications after stroke. Although there are many treatment strategies for this complication, sometimes very resistant cases are also seen.

Objectives: To evaluate the effect of suprascapular nerve pulsed radiofrequency (PRF) treatment for hemiplegic shoulder pain (HSP). Read More

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The effects of hemiplegic shoulder pain on upper extremity motor function and proprioception.

NeuroRehabilitation 2020 ;46(4):561-567

School of Physical Therapy and Rehabilitation, Pamukkale University, Denizli, Turkey.

Background: Hemiplegic shoulder pain (HSP) after stroke has negative effects on functional use of hemiplegic arm.

Objective: This study aimed to investigate the effects of HSP on upper extremity motor function and proprioception.

Methods: Hundred and twenty-two patients with hemiplegia were included in this study. Read More

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November 2020

Suprascapular nerve block in hemiplegic shoulder pain: comparison of the effectiveness of placebo, local anesthetic, and corticosteroid injections-a randomized controlled study.

Neurol Sci 2020 Nov 10;41(11):3243-3247. Epub 2020 May 10.

Department of Physical Medicine and Rehabilitation, Saglik Bilimleri University, Sisli Hamidiye Etfal Education and Research Hospital, Istanbul, Turkey.

Background: Shoulder pain is a common complication of hemiplegic patients that can interrupt their rehabilitation program and is associated with poorer outcomes. The usefulness of the suprascapular nerve block. (SSNB) in the stroke population has been suggested, but some concerns still remain. Read More

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November 2020

Robotic therapy for the hemiplegic shoulder pain: a pilot study.

J Neuroeng Rehabil 2020 04 22;17(1):54. Epub 2020 Apr 22.

Universidad de Oriente, Santiago de Cuba, Cuba.

Backgrounds: Exoskeletons development arises with a leading role in neurorehabilitation technologies; however, very few prototypes for upper limbs have been tested, contrasted and duly certified in terms of their effectiveness in clinical environments in order to incorporate into the health system. The purpose of this pilot study was to determine if robotic therapy of Hemiplegic Shoulder Pain (HSP) could lead to functional improvement in terms of diminishing of pain, spasticity, subluxation, the increasing of tone and muscle strength, and the satisfaction degree.

Methods: An experimental study was conducted in 16 patients with painful shoulder post- ischemic stroke in two experimental groups: conventional and robotic therapy. Read More

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Comparison of the efficacy of intramuscular botulinum toxin type-A injection into the pectoralis major and the teres major muscles and suprascapular nerve block for hemiplegic shoulder pain: a prospective, double-blind, randomized, controlled trial.

Neurol Sci 2020 Aug 16;41(8):2225-2230. Epub 2020 Mar 16.

Department of Physical Medicine and Rehabilitation, Uludağ University Medicine Faculty, Bursa, Turkey.

Introduction: This study aims to investigate the effect of botulinum toxin-A (BoNT-A) injection into pectoralis major and teres major muscles and suprascapular nerve block (SSNB) on pain, range of motion (ROM), and upper extremity function for (hemiplegic shoulder pain) HSP, and to compare the effectiveness of these two methods.

Materials And Methods: Sixty patients with HSP were randomly assigned into 2 groups. The Group 1 (n = 30) received BoNT-A injection into the pectoralis major and teres major, and the Group 2 (n = 30) received SSSB. Read More

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Shoulder pain after recent stroke (SPARS): hemiplegic shoulder pain incidence within 72hours post-stroke and 8-10 week follow-up (NCT 02574000).

Physiotherapy 2020 06 9;107:142-149. Epub 2019 Aug 9.

Department of Neurology, Atkinson Morley Wing, St George's University Hospitals NHS Foundation Trust, Blackshaw Road, Tooting, London SW17 0QT, United Kingdom. Electronic address:

Objectives: This study aimed to identify very early incidence of hemiplegic shoulder pain within 72hours (HSP), how clinical assessment was related to pain at 8-10 week follow-up and explore current standard therapy/management.

Design: Observational, prospective.

Setting: Teaching hospital hyper-acute and follow-up stroke services. Read More

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Post-needling soreness and trigger point dry needling for hemiplegic shoulder pain following stroke.

Acupunct Med 2020 06 3;38(3):150-157. Epub 2020 Feb 3.

Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, Alcorcón, Spain.

Objectives: To determine the presence of post-needling induced pain in subjects who had suffered a stroke and received trigger point (TrP) dry needling (DN), and to investigate the effects of including TrP-DN into a rehabilitation program for shoulder pain in this population.

Methods: A randomized clinical trial was conducted. Sixteen patients who had suffered a stroke and presented with shoulder pain were randomly assigned to receive rehabilitation alone or rehabilitation combined with DN. Read More

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Upper limb motor improvement in chronic stroke after combining botulinum toxin A injection and multi-joints robot-assisted therapy: a case report.

Oxf Med Case Reports 2019 Oct 31;2019(10):omz097. Epub 2019 Oct 31.

Laboratory of Experimental Neurorehabilitation, Scientific Institute for Research, Hospitalisation and Health Care (IRCCS) Santa Lucia Foundation, Rome, Italy.

Spasticity is one of the major complications after stroke. Botulinum toxin type A (BoNT-A) injection is commonly used to manage focal spasticity. However, it is uncertain whether BoNT-A can improve activities of daily living function of paretic arm. Read More

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October 2019

Upper Limb Three-Dimensional Reachable Workspace Analysis Using the Kinect Sensor in Hemiplegic Stroke Patients: A Cross-Sectional Observational Study.

Am J Phys Med Rehabil 2020 05;99(5):397-403

From the Department of Rehabilitation Medicine, Konkuk University School of Medicine, Seoul, South Korea (YML, SL, KEU, JL); Department of Orthopedic Surgery, University of California San Francisco, San Francisco, California (GK); Department of Physical Medicine and Rehabilitation, School of Medicine, University of California at Irvine, Orange, California (JJH); and Research Institute of Medical Science, Konkuk University School of Medicine, Seoul, South Korea (JL).

Objective: A reachable workspace evaluation using the Kinect sensor was previously introduced as a novel upper limb outcome measure in neuromuscular and musculoskeletal conditions. This study investigated its usefulness in hemiplegic stroke patients.

Design: Forty-one patients with hemiplegic stroke were included. Read More

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Clinical effectiveness of ultrasound guided subacromial-subdeltoid bursa injection of botulinum toxin type A in hemiplegic shoulder pain: A retrospective cohort study.

Medicine (Baltimore) 2019 Nov;98(45):e17933

Department of Neurology, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hang Zhou, Zhe Jiang, PR China.

Hemiplegic shoulder pain (HSP), which occurs in most patients with hemiplegia, causes considerable distress and worsens outcomes in rehabilitation. Although they have received the treatments such as anti-inflammatory drugs or physical therapy, many of the individuals remain suffering from shoulder pain 6 months after acute stroke event. In this retrospective study, we evaluated the effectiveness of ultrasound guided subacromial-subdeltoid (SASD) bursa injections with botulinum toxin type A (BoNT/A) compared to steroids for refractory HSP. Read More

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November 2019

Effects of physical therapy on mental function in patients with stroke.

J Int Med Res 2020 Feb 16;48(2):300060519861164. Epub 2019 Jul 16.

Department of Geriatrics, PLA Air Force 986 Hospital, Xi'an City, Shaanxi Province, China.

Objective: In this study, we aimed to determine the effects of physical therapy intervention on mental function in patients with stroke.

Methods: In this retrospective experimental study, we included 134 patients previously diagnosed with anxiety and depression who presented to our outdoor physical therapy clinic with hemiplegia owing to stroke during 2016 to 2018. The main interventions were neurodevelopmental techniques, strength training, stationary cycling, and shoulder wheel exercise. Read More

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February 2020

The effect of electrical stimulation on impairment of the painful post-stroke shoulder.

Top Stroke Rehabil 2019 10 12;26(7):544-547. Epub 2019 Jul 12.

Department of Physical Medicine and Rehabilitation, MetroHealth System , Cleveland , OH , USA.

: Transcutaneous electrical nerve stimulation (TENS) and transcutaneous neuromuscular electrical stimulation (t-NMES) are commonly used therapies in the treatment of chronic hemiplegic shoulder pain. These treatments are often utilized during physical or occupational therapy sessions, yet research into the acute analgesic effects of TENS and t-NMES on hemiplegic shoulder pain and use during therapy is limited. : To compare the acute effects of transcutaneous electrical nerve stimulation (TENS), transcutaneous neuromuscular electrical stimulation (t-NMES), and no stimulation on pain-free passive range of motion of the shoulder in subjects with hemiplegic shoulder pain. Read More

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October 2019

A novel neurocognitive rehabilitation tool in the recovery of hemiplegic hand grip after stroke: a case report.

Funct Neurol 2019 Jan-Mar;34(1):53-57

Stroke has significant physical, psychological and social consequences. Recent rehabilitation approaches suggest that cognitive exercises with dual-task (sensory-motor) exercises positively influence the recovery and function of the hemiplegic hand grip. The purpose of this study was to describe a rehabilitation protocol involving the use of a new neurocognitive tool called "UOVO" for hand grip recovery after stroke. Read More

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December 2019

Therapeutic effect of Fu's subcutaneous needling for hemiplegic shoulder pain among stroke survivors: Study protocol for a randomized controlled trial.

Medicine (Baltimore) 2019 May;98(19):e15507

Department of Acupuncture and Rehabilitation, GuangDong Second Hospital of Traditional Chinese Medicine.

Background: Hemiplegic shoulder pain (HSP) is a frequent complication after stroke and limits patients' physical functioning of the affected arm, thus compromising their quality of life. Fu's subcutaneous needling (FSN) has been widely applied in the treatment of pain diseases in China; however, its efficacy and safety for HSP remain to be elucidated. We therefore conducted a randomized, controlled trial to summarize the current evidence on the effects of FSN on the recovery outcomes of stroke survivors with HSP. Read More

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Scapular Upward Rotation During Passive Humeral Abduction in Individuals With Hemiplegia Post-stroke.

Ann Rehabil Med 2019 Apr 30;43(2):178-186. Epub 2019 Apr 30.

Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand.

Objective: To describe scapular upward rotation during passive humeral abduction in individuals with hemiplegia post-stroke compared to normal subjects.

Methods: Twenty-five individuals with hemiplegia post-stroke and 25 age- and gender-matched normal subjects voluntarily participated in this study. Scapular upward rotation during resting and passive humeral abduction at 30°, 60°, 90°, 120°, and 150° were measured using a digital inclinometer. Read More

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The myofascial component of the pain in the painful shoulder of the hemiplegic patient.

Clinics (Sao Paulo) 2019 29;74:e905. Epub 2019 Apr 29.

Departamento de Biomecanica, Medicina e Reabilitacao do Aparelho Locomotor, Faculdade de Medicina de Ribeirao Preto, Universidade de Sao Paulo, Ribeirao Preto, SP, BR.

Objectives: Poststroke shoulder pain occurs very frequently and compromises function and quality of life. Because treatment depends on a multidisciplinary approach, it is desirable to optimize effectiveness. Myofascial pain syndrome is defined by the presence of trigger points that can also be found in spastic stroke patients. Read More

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Systematic Review on Effectiveness of shoulder taping in Hemiplegia.

J Stroke Cerebrovasc Dis 2019 Jun 5;28(6):1463-1473. Epub 2019 Apr 5.

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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