635 results match your criteria: "Shoulder and Hemiplegia"

Objective: To investigate the current status of knowledge, attitude, and practice (KAP) of healthcare professionals in stroke-related departments of primary-level tertiary hospitals regarding the prevention and treatment of hemiplegic shoulder pain, and to analyze influencing factors. This aims to provide a reference for further training, guidance, and management of hemiplegic shoulder pain.

Methods: A total of 123 healthcare professionals from stroke-related departments of two tertiary hospitals in a county-level city in Zhejiang province were selected as the research subjects from March 6, 2023, to March 14, 2023.

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Background: Gangliocapsular stroke is a specific type of hemorrhagic stroke that primarily affects the basal ganglia and internal capsule due to rupture of the lenticulostriate perforating arteries. Patients afflicted with this condition often present with contralateral motor deficits, particularly affecting the upper extremity. Additionally, these individuals may experience challenges in coordination and stability, largely due to the involvement of the shoulder and scapular girdle.

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Use of Botulinum Toxin in Upper-Limb Tremor: Systematic Review and Perspectives.

Toxins (Basel)

September 2024

Assistance Publique Hôpitaux de Paris, Service de Rééducation Neurolocomotrice, Hôpitaux Universitaires Henri Mondor, F-94010 Créteil, France.

Article Synopsis
  • Tremor is the most common movement disorder, and while oral medications often have limited effectiveness due to side effects, botulinum toxin (BT) shows promise for improving upper limb function, although strong evidence is still lacking.
  • A systematic review analyzed existing studies on BT for upper-limb tremor, finding only eight randomized controlled trials and seven open-label studies with small sample sizes, indicating that tailored injections based on individual needs lead to better outcomes.
  • While BT injections can improve functionality, they may cause temporary weakness, particularly in wrist and finger movements; the review suggests optimizing injection techniques to minimize weakness and enhance effectiveness in treating tremors.
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Introduction: Glenohumeral subluxation (GHS) is a common complication in stroke patients with hemiplegia, occurring in approximately 17-81% of cases. This study aims to evaluate the relationship between shoulder muscle thickness and the degree of subluxation using ultrasound imaging.

Methods: A cross-sectional study of 61 stroke patients with hemiplegia was conducted, measuring supraspinatus muscle thickness, deltoid muscle thickness, and acromion-greater tuberosity (AGT).

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A delayed presentation of traumatic spinal epidural hematoma (SEH) is a rare disease in which most patients are asymptomatic for days to weeks after the injury, followed by pain and then a neurological deficit. A 66-year-old woman who suffered a fractured right clavicle due to a bicycle accident 42 days previously, presented with left shoulder pain and left hemiplegia. The manual muscle test (MMT) scores of the left upper and lower limbs were all 1.

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BACKGROUND Frozen shoulder with limited range of motion is a common and debilitating condition that occurs on the affected side following a stroke. The effectiveness of therapy was reported to be negatively correlated with the complexity of pathogenesis. Prolotherapy involves injection into the joint of a small amount of irritant, such as dextrose, which enhances tissue strength and facilitates healing by targeting joint spaces.

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Objective: To explore the clinical effect of interactive scalp acupuncture combined with task-oriented mirror therapy on hemiplegia after stroke.

Methods: A total of 86 patients with hemiplegia after stroke were randomly divided into an observation group (43 cases, 2 cases dropped out) and a control group (43 cases, 2 cases dropped out). Both groups received routine treatment and rehabilitation treatment for stroke.

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Article Synopsis
  • - Hemiplegic shoulder pain (HSP) is a frequent complication after a stroke, significantly hindering upper limb recovery. Its main cause is nerve injury leading to neuropathic pain, and while corticosteroid injections can help reduce pain, they come with risks like tendon degeneration and unclear long-term effects.
  • - Botulinum toxin injections are a newer approach that may reduce shoulder pain by blocking pain receptors and neurogenic inflammation, but there isn't solid research connecting pain relief to improvements in brain function.
  • - This clinical trial aims to compare the effectiveness of botulinum toxin and glucocorticoid injections in treating HSP by conducting a double-blind study with 78 patients, assessing results at 1 and
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Background: Hemiplegic shoulder pain (HSP) is a prevalent clinical manifestation following stroke, often causing considerable discomfort and disability. Various therapeutic approaches have been developed to address HSP.

Objectives: This study aimed to compare the effectiveness of HILT versus US therapy in alleviating HSP in stroke patients.

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Article Synopsis
  • Shoulder subluxation post-stroke negatively affects recovery and quality of life, and this study assessed whether kinesiology tape could aid rehabilitation.
  • In a randomized controlled trial with 35 stroke patients, participants were split into a kinesiology taping group and a sham taping group, both receiving standard physical therapy for 6 weeks.
  • Results showed significant improvements in shoulder subluxation distance, active range of motion, pain levels, disability index, and overall function, with the kinesiology taping group outperforming the sham group in these areas.
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The reaching motion to the back of the head with the hand is an important movement for daily living. The scores of upper limb function tests used in clinical practice alone are difficult to use as a reference when planning exercises for movement improvements. This cross-sectional study aimed to clarify in patients with mild hemiplegia the kinematic characteristics of paralyzed and non-paralyzed upper limbs reaching the occiput.

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Pectoralis Major Tendon Rupture in a Spastic Hemiplegic Shoulder: A Complication of Home Stretching Pulley System.

Am J Phys Med Rehabil

November 2024

From the Department of Rehabilitation Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Malaysia (MFZ); Department of Rehabilitation Medicine, Queen Elizabeth Hospital, Kota Kinabalu, Malaysia (MFZ, MYC); and Department of Radiology, Labuan Hospital, Federal Territory of Labuan, Malaysia (AFAA).

Pectoralis major injuries are uncommon, typically affecting young male athletes engaging in high-intensity activities like weightlifting. A 62-yr-old man, who previously suffered a stroke leading to left hemiparesis, hemisensory loss, and spasticity, exhibited a left chest swelling during a rehabilitation clinic visit. Subsequent inquiries revealed his recent incorporation of a home-based pulley system for stretching exercises.

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Article Synopsis
  • The study investigates the effectiveness of the Gloreha Aria (R-Lead), a sensor-based rehabilitation tool, for improving upper limb function in post-stroke patients compared to traditional physiotherapy.
  • A total of 21 subacute hemiplegic patients were randomly assigned to either the sensor-based treatment group or the conventional control group, with both completing 30 rehabilitation sessions.
  • Results indicated improvements in upper limb motor function for both groups, with the Gloreha Aria showing promise in enhancing arm abilities without any adverse effects during the rehabilitation process.
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Article Synopsis
  • Stroke is a leading cause of long-term disability in the U.S., highlighting the need for better rehabilitation methods for gait impairments post-stroke, prompting the development of advanced devices like exoskeletons.
  • The project aimed to enhance the NewGait® exosuit through a human-centered design approach, focusing on feedback from clinicians, stroke survivors, and caregivers to better meet user needs.
  • Design sprints revealed key issues such as fit for women and ease of use, leading to significant prototype refinements like improved closure systems and materials, followed by testing for durability and usability in comparison to existing products.
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This case report introduces a novel type of shoulder prosthesis in 2 patients with hemiplegic shoulder subluxation. A unique reel traction device was incorporated to allow easy traction and accurate correction of joint subluxation. X-ray images taken before and after application showed immediate correction effects that were maintained up to 2 hours after application with no change of sling position.

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Hemiplegic shoulder pain (HSP) is a common complication that occurs after stroke and has been reported in up to 84% of hemiplegic patients. One of the recommended treatment options for shoulder pain is high-intensity laser therapy (HILT). This study aimed to determine the effectiveness of high-intensity laser therapy on pain, function and hand grip strength in patients with hemiplegic shoulder dysfunction.

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Background: Shoulder subluxation caused by paralysis after stroke is a serious issue affecting shoulder pain and functional prognosis. However, its preventive treatment has not been fully investigated.

Aim: To investigate the effects of repetitive peripheral magnetic stimulation (rPMS) on the prevention of shoulder subluxation.

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Background: After stroke, the effects of focused scapulo-humeral training with simultaneous assessment of the changes in shoulder subluxation, related muscle thicknesses and upper limb performance have not been studied in the literature.

Objectives: This study aimed to investigate the effects of an 8-week scapulo-humeral training program in addition to conventional rehabilitation on upper extremity/trunk functions, shoulder pain, and sonographic measurements of the shoulder joint and periscapular muscles.

Methods: Thirty stroke individuals were randomly separated into two groups as Group I-scapulo-humeral training (5F/10 M) and Group II - control (5F/10 M).

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A Pilot Feasibility Trial of an Upper Extremity Assistive System.

Arch Rehabil Res Clin Transl

December 2023

Raphael Center for Neurorestoration, Farber Institute for Neuroscience, Thomas Jefferson University, 130 S 9th Street, Suite 2400, Philadelphia, PA 19107.

Article Synopsis
  • Scientists created a special arm help device for people who had a stroke and had trouble using their arms.
  • The device can be controlled in different ways, like with movements, a joystick, or voice commands, and helps users do everyday tasks.
  • All the people who used the device reported they could do things better and felt happier about their daily activities after using it.
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Objectives: To observe the effects of acupoint application with turmeric blistering moxibustion plaster on pain, shoulder range of motion (ROM) and upper limb motor function in the patients with post-stroke hemiplegic shoulder pain (PSHSP).

Methods: Eighty-two patients with PSHSP were randomly divided into an observation group (41 cases, 1 case was eliminated, 4 cases dropped out) and a control group (41 cases, 2 cases were eliminated and 2 cases dropped out). The routine treatment, nursing care and rehabilitation training were performed in the control group.

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Background: Post-stroke hemiplegic shoulder pain (HSP) is a common complication leading to significant activity limitation. Some approaches have been recommended for the management of HSP, and most of them have various adverse effects, while none were established to be effective. This study aimed to evaluate the effect of minimally invasive extracorporeal shockwave therapy (ESWT) on patients with HSP pain management.

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Introduction: Exercise rehabilitation is crucial for neurological recovery in hemiplegia-induced upper limb dysfunction. Technology-assisted cortical activation in sensorimotor areas has shown potential for restoring motor function. This study assessed the feasibility of mobile serious games for stroke patients' motor rehabilitation.

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Article Synopsis
  • This research aimed to assess the impact of adding dry needling (DN) to conventional rehabilitation on pain, range of motion (ROM), and functionality for patients with hemiplegic shoulder pain (HSP).
  • A total of 38 patients were divided into two groups; one received standard rehabilitation while the other received the same treatment plus DN therapy over a series of sessions.
  • While both groups showed improvement post-treatment, only minor differences were found in ROM, and no clinically significant advancements were observed at the three-month follow-up, suggesting that DN may not add substantial benefits to traditional methods.
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Article Synopsis
  • - The study aimed to explore the diagnosis and treatment of hemiplegic shoulder pain (HSP) by analyzing changes in pain-related substances in the blood and included 34 patients with shoulder pain and 21 control subjects.
  • - Results showed that individuals with HSP had significantly lower pain-free shoulder mobility and higher signs of anxiety and depression compared to the control group; spasticity in elbow muscles was also more prevalent in the HSP group.
  • - Key findings indicated that certain pain mediators (CGRP, IL-10, IL-2) were elevated in HSP patients, while others (NGF, TNF-α, IL-6, etc.) were decreased, suggesting that HSP might be
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Post-stroke shoulder pain (PSSP) is a debilitating consequence of hemiplegia, often hindering rehabilitation efforts and further limiting motor recovery. With the advent of robotic-assisted therapies in neurorehabilitation, there is potential for innovative interventions for PSSP. This study systematically reviewed the current literature to determine the effectiveness of robotic-assisted rehabilitation in addressing PSSP in stroke patients.

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