Shoulder pain is probably the most frequent complication of hemiplegia in this study 219 hemiplegia patients were regularly followed up after their cerebrovascular accident cva for one year 166 men 53 women with a mean age of 47 years criteria and parameters for evaluation of these shoulders . Hemiplegic shoulder pain hsp which occurs in most patients with hemiplegia reduces participation and worsens outcomes in rehabilitation management of hsp is challenging because its causes are multifactorial and there is limited conflicting or nonspecific evidence in support of most treatments this article develops an effective approach for diagnosis and treatment using the best . Shoulder subluxation occurs at an early stage after stroke and is associated with subluxation of the shoulder joint and spasticity mainly subscapularis and pectoralis slings prevent subluxation of the shoulder it is preferable to move within a lower range of motion and without aggression to pre . Shoulder pain in hemiplegia statistical relationship with five variables arch phys med rehabil 1986 aug 678514 6 wanklyn p forster a young j hemiplegic shoulder pain hsp natural history and investigation of associated features disabil rehabil 1996 oct 1810497 501 dursun e dursun n ural ce cakci a glenohumeral joint subluxation and reflex sympathetic dystrophy in . Development of a painful shoulder in the hemiplegic patient is a significant and serious problem because it can limit the patients ability to reach his or her maximum functional potential several etiologies of shoulder pain have been identified such as immobilization of the upper extremity trau shoulder pain in hemiplegia am j occup ther 1985 jan39111 9 doi 105014 ajot39111
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