Influence of degenerative changes in shoulder joints at ill after the cerebral stroke for the returnof the function of the uppelimp.

Introduction: with Frequent complications appearing at ill there are disorders of the function and pathological changes in structures of a shoulder joint after the cerebral stroke. Degenerative changes overlapping each other within a shoulder joint to a considerable degree make the process hard for the rehabilitation, they prolong the time of curing and they affect on the quality of life for this group ill. The purpose of our study was assessment of results of ill rehabilitations after the experienced cerebral stroke with degenerative changes in shoulder joints, compared with the control group. Material and the method: The examined Group was made by ill with hemiplegia after the experienced cerebral stroke hospitalized in the Department of the Rehabilitation of the Regional Hospital No. 2 in Rzeszów observed in the period from 1st of January and to 31 st of August 2001, at whom the ultrasound examination degenerative changes were stated in a shoulder joint of the paresised upper limb. The control group was made by ill cured in the same period without degenerative changes in a shoulder joint of the upper limb with paresis. At all ill ultrasound examining structures of shoulder joints was made, a passive scope of the move in the pond was being examined as well as an efficiency of the upper limb was being judged with the Brunnstrom test before and after the rehabilitation.

Results: in the control group an improvement in the scope of the move in a shoulder joint and bigger Brunnstrom for the efficiency of the upper limb judged with the test were gotten. Received results were worked out statistically with using the canonical analysis.

Conclusions: While choosing a rehabilitation method of ill with degenerative changes in a shoulder joint after the cerebral stroke, the generative changes in joints of a paresised limbs need to be taken into consideration.