Hemiplegic Shoulder Subluxation: Difference between revisions

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== Introduction ==
== Introduction ==
Shoulder subluxation is one of the major complications experienced among stroke survivors. It was observed that approximately 84% of stroke survivors will have Shoulder subluxation and related shoulder pain.<ref>Seneviratne, Cydnee; Then, Karen L.; Reimer, Marlene. Post-stroke shoulder subluxation: A concern for neuroscience nurses. AXON/ L'AXONE .  Sep2005, Vol. 27 Issue 1, p26-31.</ref>  Shoulder subluxation may occur early on in the hemiplegic arm due to flaccid supporting shoulder musculature and can be exacerbated by external forces.<ref>Robert Teasell, Andreea Cotoi, Jeffrey Chow, Joshua Wiener, Alice Iliescu, Norhayati Hussein, Norine Foley, Katherine Salter. Executive Summary on Evidence-Based Review of Stroke Rehabilitation (18th edition). www.ebrsr.com</ref> However, Patients with shoulder subluxation may not have Hemiplegic Shoulder Pain while patients with Hemiplegic Shoulder Pain may not have shoulder subluxation.<ref>Joshua Wiener, Andreea Cotoi, Ricardo Viana, John Chae, Richard Wilson, Tom Miller, Norine Foley, Robert Teasell. 11.Hemiplegic Shoulder Pain& Complex Regional Pain Syndrome. www.ebrsr.com</ref> On this page, emphasis is centred on Physical therapy management. Kindly refer to Shoulder Subluxation for more details
Shoulder subluxation is one of the major complications experienced among stroke survivors. It was observed that approximately 84% of stroke survivors will have Shoulder subluxation and related shoulder pain.<ref>Seneviratne, Cydnee; Then, Karen L.; Reimer, Marlene. Post-stroke shoulder subluxation: A concern for neuroscience nurses. AXON/ L'AXONE .  Sep2005, Vol. 27 Issue 1, p26-31.</ref>  Shoulder subluxation may occur early on in the hemiplegic arm due to flaccid supporting shoulder musculature and can be exacerbated by external forces.<ref>Robert Teasell, Andreea Cotoi, Jeffrey Chow, Joshua Wiener, Alice Iliescu, Norhayati Hussein, Norine Foley, Katherine Salter. Executive Summary on Evidence-Based Review of Stroke Rehabilitation (18th edition). www.ebrsr.com</ref> However, Patients with shoulder subluxation may not have Hemiplegic Shoulder Pain while patients with Hemiplegic Shoulder Pain may not have shoulder subluxation.<ref>Joshua Wiener, Andreea Cotoi, Ricardo Viana, John Chae, Richard Wilson, Tom Miller, Norine Foley, Robert Teasell. 11.Hemiplegic Shoulder Pain& Complex Regional Pain Syndrome. www.ebrsr.com</ref> On this page, emphasis is centred on Physical therapy management. Kindly refer to [[Shoulder subluxation|Shoulder Subluxation]] for more details


== Physical Therapay Management ==
== Physical Therapay Management ==


=== Acute Phase ===
=== Acute Phase ===

Revision as of 01:46, 29 April 2018

Introduction[edit | edit source]

Shoulder subluxation is one of the major complications experienced among stroke survivors. It was observed that approximately 84% of stroke survivors will have Shoulder subluxation and related shoulder pain.[1] Shoulder subluxation may occur early on in the hemiplegic arm due to flaccid supporting shoulder musculature and can be exacerbated by external forces.[2] However, Patients with shoulder subluxation may not have Hemiplegic Shoulder Pain while patients with Hemiplegic Shoulder Pain may not have shoulder subluxation.[3] On this page, emphasis is centred on Physical therapy management. Kindly refer to Shoulder Subluxation for more details

Physical Therapay Management[edit | edit source]

Acute Phase[edit | edit source]

  1. Seneviratne, Cydnee; Then, Karen L.; Reimer, Marlene. Post-stroke shoulder subluxation: A concern for neuroscience nurses. AXON/ L'AXONE . Sep2005, Vol. 27 Issue 1, p26-31.
  2. Robert Teasell, Andreea Cotoi, Jeffrey Chow, Joshua Wiener, Alice Iliescu, Norhayati Hussein, Norine Foley, Katherine Salter. Executive Summary on Evidence-Based Review of Stroke Rehabilitation (18th edition). www.ebrsr.com
  3. Joshua Wiener, Andreea Cotoi, Ricardo Viana, John Chae, Richard Wilson, Tom Miller, Norine Foley, Robert Teasell. 11.Hemiplegic Shoulder Pain& Complex Regional Pain Syndrome. www.ebrsr.com