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Hemiplegic Shoulder Pain in Shoulder Subluxation after Stroke: Associated with Range of Motion Limitation

 Sang Chul Lee  ;  Ae Ryoung Kim  ;  Won Hyuk Chang  ;  Ju-sun Kim  ;  Deog Young Kim 
 Brain & Neurorehabilitation, Vol.11(1) : e6-e15, 2018 
Journal Title
 Brain & Neurorehabilitation 
Issue Date
Magnetic Resonance Imaging ; Shoulder Pain ; Shoulder Dislocation ; Stroke
We grouped hemiplegic patients with shoulder subluxation according to the presence of hemiplegic shoulder pain (HSP) and aimed to compare the difference in clinical and magnetic resonance (MR) arthrography findings between 2 groups in the effort to find factors possibly related to HSP. We performed a retrospective, cross-sectional analysis of all eligible inpatients treated at one university rehabilitation hospital. Clinical findings including passive range of motion (ROM), motor power, and spasticity and MR arthrography findings in the affected shoulder were compared between the 2 groups. Of 59 patients who met the criteria, 21 (35.6%) and 38 (64.4%) were classified as HSP group and no-HSP group, respectively. Limitation of ROM in flexion and rotator cuff atrophy significantly related with HSP (R2 = 0.449, p < 0.05). Limitation of ROM in flexion and rotator cuff atrophy in MR arthrography was 1.1 and 6.4 times more likely associated with HSP, respectively. Additionally, spasticity in flexion correlated with limitation of ROM in flexion (p = 0.049), external rotation (p = 0.034), and with total limitation of ROM (p = 0.033). A significant correlation was evident between HSP and ROM of the shoulder. However, HSP did not correlate with MR arthrography findings, except rotator cuff atrophy.
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1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Deog Young(김덕용) ORCID logo https://orcid.org/0000-0001-7622-6311
Kim, Ae Ryoung(김애령)
Kim, Ju-sun(김주선) ORCID logo https://orcid.org/0000-0003-1178-7884
Lee, Sang Chul(이상철) ORCID logo https://orcid.org/0000-0002-6241-7392
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