Thermographic evaluation of the painful shoulder in the hemiplegic patient.
نویسندگان
چکیده
In this study, we investigated the applicability of thermography as a technique for evaluating the painful postcerebrovascular accident (CVA) shoulder in hemiplegic patients. A thermographic series was taken of the upper extremities and upper trunk of 27 female subjects. The four groups we evaluated were nonhemiplegic subjects (n = 9), post-CVA subjects with recovered function (n = 6), hemiplegic subjects with upper extremity motor impairment (n = 6), and hemiplegic subjects with both motor impairment and ipsilateral shoulder pain (n = 6). The data revealed a normal thermographic series in 8 of the 9 nonhemiplegic subjects, but only in 1 of the 18 post-CVA subjects. The majority of the abnormal thermographic series of post-CVA subjects showed a 1 degree to 5 degree C coolness on the involved side. No consistent thermographic patterns emerged that could be related to the severity or location of pain. Further studies are needed to evaluate the efficacy of thermography as a means of determining the relationship between ipsilateral post-CVA coolness and hemiplegic shoulder pain.
منابع مشابه
Painful Hemiplegic Shoulder
Shoulder pain resulting from hemiplegia is a common clinical consequence of a focal cerebral insult resulting from a vascular lesion (ie. hemorrhagic or ischemic stroke). Painful hemiplegic shoulder can occur as early as 2 weeks post stroke but an onset time of 2-3 months post stroke is more typical. Shoulder pain can negatively affect rehabilitation outcomes as good shoulder function is a prer...
متن کاملShoulder pain in hemiplegia.
Development of a painful shoulder in the hemiplegic patient is a significant and serious problem, because it can limit the patient's ability to reach his or her maximum functional potential. Several etiologies of shoulder pain have been identified, such as immobilization of the upper extremity, trauma to the joint structures, including brachial plexus injuries, and subluxation of the gleno-hume...
متن کاملبررسی شیوع شانه درد و برخی از عوامل مرتبط با آن در سکته مغزی
Background and Purpose: Shoulder pain is a common complication of stroke that can cause some rehabilitation limitations to achieve functional goals. The information about its prevalence and associated factors is limited. This study was conducted to detect more details about its associated factors. Materials and Methods: This study was done on 191 stroke patients at physical medicine and re...
متن کامل[Painful hemiplegic shoulder in stroke patients: causes and management].
INTRODUCTION The hemiplegic shoulder pain is common after a stroke. Its appearance brings pain and limits daily living activities as well as participation in specific Neuro-rehabilitation programs. All this leads to a worse functional outcome. Good management of patients can reduce both the frequency and intensity of shoulder pain, improving functional outcome. DEVELOPMENT We conducted a lite...
متن کاملPhysical findings and sonography of hemiplegic shoulder in patients after acute stroke during rehabilitation.
OBJECTIVE Physical and sonographic evaluation of hemiplegic shoulder in patients after acute stroke and correlation between the physical/sonographic findings and early-onset hemiplegic shoulder pain. DESIGN Cross-sectional study. SUBJECTS Fifty-seven patients after stroke with hemiplegic shoulder. METHODS Subjects were assigned to poor motor function and good motor function groups accordi...
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ورودعنوان ژورنال:
- Physical therapy
دوره 66 9 شماره
صفحات -
تاریخ انتشار 1986