Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-29T17:06:37.138Z Has data issue: false hasContentIssue false

The painful hemiplegic shoulder: pathogenesis, diagnosis and management

Published online by Cambridge University Press:  17 November 2008

P Wanklyn*
Affiliation:
Bradford Royal Infirmary, West Yorkshire, UK
*
P Wanklyn, Department of Medicine for the Elderly, Bradford Royal Infirmary, Duckworth Lane, Bradford BD9 6RJ, West Yorkshire, UK.

Abstract

Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
Rehabilitation
Copyright
Copyright © Cambridge University Press 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Hakuno, A, Sashika, H, Ohkawa, T, Itoh, R.Arthrographic findings in hemiplegic shoulders. Arch Phys Med Rehabil 1984; 65: 706–11.Google ScholarPubMed
2Van Ouwenaller, C, Laplace, P, Chantraine, A.Painful shoulder in hemiplegia. Arch Phys Med Rehabil 1986; 67: 2326.Google Scholar
3Williams, J. Electromyographic feedback and the painful hemiplegic shoulder. In: Michel, T ed. Pain. Edinburgh: Churchill Livingstone, 1985;: 183206.Google Scholar
4Basmajan, J, Bazant, F.Factors preventing downward dislocation of the adducted shoulder joint. J Bone Joint Surg 1959; 41: 1182–86.CrossRefGoogle Scholar
5Schatzker, J, Bänemark, P.Intravital observations on the microvascular anatomy and microcirculation of the tendon. Acta Orthop Scand (suppl) 1969; 126: 123.CrossRefGoogle ScholarPubMed
6DePalma, A.Surgery of the shoulder, third edition. Philadelphia: JB Lippincott Co, 1983.Google Scholar
7Alpert, S, Idaraga, S, Orbegozo, J et al. Absence of electromyographic evidence of lower motor neurone involvement in hemiplegic patients. Arch Phys Med Rehabil 1971; 52: 179–81.Google ScholarPubMed
8Chaco, J, Wolf, E.Subluxation of the GHJ in hemiplegia. Am J Phys Med 1971; 50: 139–43.Google Scholar
9Chino, N.Electrophysiological investigations in shoulder subluxation in hemiplegics. Scand J Rehabil Med 1981; 13: 1721.Google ScholarPubMed
10Kaplan, P, Meredith, J, Taft, G.Stroke and brachial plexus injury; a difficult problem. Arch Phys Med Rehabil 1977; 58: 415–18.Google ScholarPubMed
11Ring, H, Leillen, B, Server, S.Temporal changes in electrophysiological, clinical and radiological parameters in the hemiplegic's shoulder. Scand J Rehabil Med 1985; 12 (suppl): 124–27.Google Scholar
12Davis, S, Petrillo, C, Eichberg, R.Shoulder hand syndrome in hemiplegic population: A 5 year retrospective study. Arch Phys Med Rehabil 1977; 58: 353–56.Google Scholar
13Brocklehurst, J, Andrews, K, Richards, B.How much physical therapy for patients with stroke? Br Med J 1978; 1: 1307–10.Google Scholar
14Jenson, E.The hemiplegic shoulder. Scand J Rehabil Med 1980; 12: (suppl): 113–19.Google Scholar
15Najenson, J, Yacubovich, E, Pikielny, S.Rotator cuff injury in the shoulder joints of hemiplegic patients. Scand J Rehabil Med 1971; 3: 131–37.Google ScholarPubMed
16Joynt, R.The source of shoulder pain in hemiplegia. Arch Phys Med Rehabil 1992; 73: 409–13.Google ScholarPubMed
17Dalton, S. Clinical examination of the painful shoulder. In: Hazelman, B, Dieppe, P, eds. Baillière's clinical rheumatology. London: Baillière Tindall, 1989;: 453–74.Google Scholar
18Rizk, T, Christopher, R, Pinals, R, Salazar, J, Higgins, C.Arthrographic studies in hemiplegic shoulders. Arch Phys Med Rehabil 1984; 65: 254–56.Google ScholarPubMed
19Fitzgerald-Finch, O, Gibson, I.Subluxation of the shoulder in hemiplegia. Age Ageing 1975; 4: 1618.CrossRefGoogle ScholarPubMed
20Boyd, E, Goudreau, L, O'Riain, M et al. A radiological measure of shoulder subluxation in hemiplegia: its reliability and validity. Arch Phys Med Rehabil 1993; 74: 188–93.Google ScholarPubMed
21Hayes, K.Reliability of a new device used to measure shoulder subluxation. Phys Ther 1989; 69: 762–67.CrossRefGoogle ScholarPubMed
22Poulin de Courval, L, Barsaukas, A, Berenbaum, B et al. Painful shoulder in the hemiplegic and unilateral neglect. Arch Phys Med Rehabil 1990; 71: 673–76.Google ScholarPubMed
23Arsenault, A, Bilodeau, M, Dutil, E, Riley, E.Clinical significance of the V-shaped space in the subluxed shoulder of hemiplegics. Stroke 1991; 22: 867–71.Google Scholar
24Smith, R, Cruikshank, J, Dunbar, S, Akhtar, A.Malalignment of the shoulder after stroke. Br Med J 1982; 284: 1224–26.CrossRefGoogle ScholarPubMed
25Mulley, G.Avoidable complications of stroke. J R Coll Phys 1982; 16: 9497.Google Scholar
26Savinelli, R, Timm, M, Montgomery, L et al. Therapy, evaluation and management of patients with hemiplegia. Clin Orthop 1978; 131: 1529.Google Scholar
27Brooke, M, De Lateur, B, Diana-Rigby, G, Questad, K.Shoulder subluxation in hemiplegia: effects of three different supports. Arch Phys Med Rehabil 1991; 72: 582–86.Google Scholar
28Ryerson, S, Levit, K. The shoulder in hemiplegia. In: Donatelli, R ed. Physical therapy of the shoulder, second edition. London: Churchill Livingstone 1991;: 120–31.Google Scholar
29Leandri, M, Parodi, C, Corrieri, N, Rigardo, S.Comparison of TENS treatments in hemiplegic shoulder pain. Scand J Rehabil Med 1990; 22: 6971.Google Scholar
30Bulgen, D, Binder, A, Hazleman, B, Dutton, J, Roberts, S.Frozen shoulder: prospective clinical study with an evaluation of three treatment regimens. Ann Rheum Dis 1984; 43: 353–60.Google Scholar
31Dacre, J, Beeney, N, Scott, D.Injections and physiotherapy for the painful stiff shoulder. Ann Rheum Dis 1989; 48: 322–25.CrossRefGoogle ScholarPubMed
32Chu, D, Petrillo, C, Davis, S et al. Shoulder-hand syndrome: importance of early diagnosis and treatment. J Am Geriatr Soc 1981; 29: 5860.Google Scholar
33Steinbrocker, O.The shoulder-hand syndrome: present perspective. Arch Phys Med Rehabil 1968; 49: 388–95.Google ScholarPubMed
34Caillet, R.Shoulder pain in hemiplegia. Philadelphia: FA Davis Co, 1980.Google Scholar
35Braun, R, West, F, Mooney, V.Surgical treatment of the painful shoulder contracture in the stroke patient. J Bone Joint Surg 1971; 53: 1307–12.CrossRefGoogle ScholarPubMed
36Hecht, J.Subscapular nerve block in the painful hemiplegic shoulder. Arch Phys Med Rehabil 1992; 73: 1036–39.Google ScholarPubMed
37Gado, K, Emery, P.Modified suprascapular nerve block with bupivocaine alone effectively controls chronic shoulder pain in patients with rheumatoid arthritis. Ann Rheum Dis 1993; 52: 215–18.CrossRefGoogle Scholar
38Vecchio, P, Adebajo, A, Hazleman, B.Suprascapular nerve block for persistent rotator cuff lesions. J Rheumatol 1993; 20: 453–55.Google Scholar