Studies on the efficacy of available methods of treatment for hemiplegic shoulder pain are reviewed in an attempt to identify the most effective treatment for this problem. Because of the poor quality of the 14 selected studies, no definite conclusion can be drawn about the most effective method of treatment. However, functional electrical stimulation and intra-articular triamcinolone acetonide injections seem to be the most promising treatment options.
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Article Synopsis
- Hemiplegic shoulder pain (HSP) is a common complication in stroke survivors that can hinder rehabilitation and recovery, and suprascapular nerve block (SSNB) is an effective treatment option.
- A study involving six stroke patients showed significant improvements in pain levels and shoulder function after undergoing ultrasound-guided SSNB, particularly in overall pain scores and passive range of motion.
- While patients showed improvement in pain and some functional aspects, not all showed gains in disability measures, indicating that while SSNB is beneficial, it may need to be part of a broader rehabilitation strategy.
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