The spastic shoulder can often result from brain injury that causes disruption in the upper motor neuron inhibitory pathways. Patients develop dyssynergic muscle activation, muscle weakness, and contractures and often present with fixed adduction and internal rotation deformity to the limb. This article reviews the importance of a comprehensive preoperative evaluation and discusses appropriate treatment strategies based on preoperative evaluation.
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The effect of ultrasound-guided botulinum toxin injections on pain, functionality, spasticity, and range of motion in patients with post-stroke upper extremity spasticity.
Rehabilitacion (Madr)
January 2025
University of Health Sciences, Şişli Hamidiye Etfal Training and Research Hospital, Department of Physical Medicine and Rehabilitation, Istanbul, Turkey.
Objective: Spasticity developing in the upper extremity in stroke patients causes disability by limiting movement and causing pain. This study investigates the effects of botulinum toxin injections on pain, functionality, spasticity, and range of motion in hemiplegic patients with post-stroke spasticity.
Materials And Methods: The study involved a double-blind, prospective, randomized controlled trial with thirty-one stroke patients aged 35-80 who developed upper extremity spasticity.
Three-dimensional kinematic analysis can improve the efficacy of acupoint selection for post-stroke patients with upper limb spastic paresis: A randomized controlled trial.
J Integr Med
December 2024
Yueyang Clinical Medical College, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China; Shanghai Research Institute of Acupuncture and Meridian, Shanghai 200030, China. Electronic address:
Background: China is seeing a growing demand for rehabilitation treatments for post-stroke upper limb spastic paresis (PSSP-UL). Although acupuncture is known to be effective for PSSP-UL, there is room to enhance its efficacy.
Objective: This study explored a semi-personalized acupuncture approach for PSSP-UL that used three-dimensional kinematic analysis (3DKA) results to select additional acupoints, and investigated the feasibility, efficacy and safety of this approach.
Determinants of Between-Person Variation in Shoulder Pain in Individuals With Spinal Cord Injury: A Population-Based Cohort Study.
Am J Phys Med Rehabil
November 2024
From the Neuro-musculoskeletal Functioning and Mobility Group, Swiss Paraplegic Research, Nottwil, Switzerland (FMB, UM, UA); Institute for Biomechanics, Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland (FMB); Life Course Epidemiology Group, Swiss Paraplegic Research, Nottwil, Switzerland (MWGB); Swiss Paraplegic Centre, Nottwil, Switzerland (IE-H); Faculty of Health Science and Medicine, University Lucerne, Lucerne, Switzerland (IE-H, UM, MWGB); and Spinal Cord Injury Center, Balgrist University Hospital, Zurich, Switzerland (MS).
Article Synopsis
- The study evaluated factors affecting shoulder pain among individuals with spinal cord injury in Switzerland, using data from surveys conducted in 2012, 2017, and 2022.
- The analysis found that 34.4% of respondents reported shoulder pain, with females, individuals with spasticity or contractures, those experiencing depression, and those with incomplete tetraplegia being at higher risk.
- Overall, findings highlight the importance of gender, injury severity, time since injury, health conditions, and wheelchair use as key determinants of shoulder pain variability among affected individuals.
Home-based guidance training system with interactive visual feedback using kinect on stroke survivors with moderate to severe motor impairment.
J Neuroeng Rehabil
October 2024
Department of Biomedical Engineering, The Chinese University of Hong Kong, Shatin, Hong Kong, SAR, China.
The home-based training approach benefits stroke survivors by providing them with an increased amount of training time and greater feasibility in terms of their training schedule, particularly for those with severe motor impairment. Computer-guided training systems provide visual feedback with correct movement patterns during home-based training. This study aimed to investigate the improvement in motor performance among stroke survivors with moderate to severe motor impairment after 800 min of training using a home-based guidance training system with interactive visual feedback.
View Article and Find Full Text PDFExceptional improvement in chronic stroke through Guided Self-rehabilitation Contract: a case report study.
Front Rehabil Sci
September 2024
AP-HP, Service de Rééducation Neurolocomotrice, Unité de Neurorééducation, Hôpitaux Universitaires Henri Mondor, Créteil, France.
Article Synopsis
- * After 16 months, she initiated a guided self-rehabilitation program where a therapist prescribed specific stretching and movement exercises targeting seven muscle groups to help regain function in her left arm.
- * Over four years, she consistently practiced the rehabilitation exercises for over two hours daily and fully regained use of her left arm, returning to work as a nurse's aide, with brain imaging confirming motor activity in her primary motor areas during left-hand use.
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