+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Evaluation and treatment of shoulder subluxation in hemiplegia: relationship between subluxation and pain



Evaluation and treatment of shoulder subluxation in hemiplegia: relationship between subluxation and pain



American Journal of Physical Medicine and Rehabilitation 77(5): 421-426



Shoulder subluxation in hemiplegic patients has been recognized as a difficult problem to manage. In the study contained herein, our aims are to evaluate shoulder subluxation, to clarify if shoulder subluxation causes pain, and to discuss the treatment of shoulder subluxation. The study included 75 hemiplegic patients with shoulder subluxation. Each patient was evaluated for the degree of shoulder pain, motor recovery of the upper limb, and shoulder range of motion. Some indexes for evaluating subluxation were measured with radiographs of the shoulders. Arthrograms of the affected shoulder joint were taken in 23 patients. The following results were found: (1) shoulder pain was significant more frequently in left hemiplegia; (2) vertical disparity was strongly correlated with discrepancy of the descendant ratio; (3) severe inferior subluxation had a tendency to show medial displacement of the humeral head; (4) there were correlations between shoulder pain and shoulder range of motion, especially external rotation; (5) adhesive changes in the arthrograms were seen in most subjects. These results indicate that there is no relation between shoulder subluxation and pain, and adhesive capsulitis is a main cause of shoulder pain. We conclude that correct positioning and shoulder range of motion exercises are advisable in hemiplegic patients with shoulder subluxation.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 046004746

Download citation: RISBibTeXText

PMID: 9798835


Related references

Percutaneous, Intramuscular Neuromuscular Electrical Stimulation for the Treatment of Shoulder Subluxation and Pain in Chronic Hemiplegia. American Journal of Physical Medicine & Rehabilitation 80(4): 296-301, 2001

Percutaneous, intramuscular neuromuscular electrical stimulation for the treatment of shoulder subluxation and pain in chronic hemiplegia: a case report. American Journal of Physical Medicine and Rehabilitation 80(4): 296-301, 2001

Percutaneous intramuscular neuromuscular electric stimulation for the treatment of shoulder subluxation and pain in patients with chronic hemiplegia: a pilot study. Archives of Physical Medicine and Rehabilitation 82(1): 20-25, 2001

Subluxation of the shoulder in hemiplegia. Age and Ageing 4(1): 16-18, 1975

Comparing stimulation-induced pain during percutaneous (intramuscular) and transcutaneous neuromuscular electric stimulation for treating shoulder subluxation in hemiplegia. Archives of Physical Medicine and Rehabilitation 82(6): 756-760, 2001

Rotation of the scapula and shoulder subluxation in hemiplegia. Archives of Physical Medicine and Rehabilitation 68(11): 786-790, 1987

Observations on subluxation of the shoulder joint in hemiplegia. Physical Therapy 55(1): 39-40, 1975

Shoulder subluxation in hemiplegia: effects of three different supports. Archives of Physical Medicine and Rehabilitation 72(8): 582-586, 1991

Observations on Subluxation of the Shoulder Joint in Hemiplegia. Physical Therapy 55(1): 39-40, 1975

Shoulder complex position and glenohumeral subluxation in hemiplegia. Archives of Physical Medicine & Rehabilitation 76(9): 857-864, 1995

Shoulder subluxation in hemiplegia: a radiologic correlational study. Archives of Physical Medicine and Rehabilitation 68(11): 782-785, 1987

The effectiveness of functional electrical stimulation for the treatment of shoulder subluxation and shoulder pain in hemiplegic patients: A randomized controlled trial. Disability and Rehabilitation 32(7): 560-566, 2010

A radiological measure of shoulder subluxation in hemiplegia: its reliability and validity. Archives of Physical Medicine and Rehabilitation 74(2): 188-193, 1993

Ultrasonographic measurement of shoulder subluxation in patients with post-stroke hemiplegia. Journal of Rehabilitation Medicine 39(7): 526-530, 2007

Validity of clinical measures of shoulder subluxation in adults with poststroke hemiplegia. American Journal of Occupational Therapy 49(6): 526-533, 1995