Intra-rater and inter-rater reliability of ultrasonographic measurements of acromion-greater tuberosity distance in patients with post-stroke hemiplegia

Kumar, Praveen; Cruziah, Reynold; Bradley, Michael J.; Gray, Selena; Swinkels, Annette

doi:10.1080/10749357.2015.1120455

Cited by 9 publications

(13 citation statements)

References 21 publications

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“…Researches have shown that, in acute poststroke hemiplegic patients, paralysis muscles around the shoulder cannot resist the gravity of upper limb and gradually result in GHS [ 20 , 23 ]. Soft tissue around the shoulder such as muscles, ligaments, and capsule is going to be overstretched, leading to the dysfunction of upper limb [ 2 ]. Therefore, our goal is to use simple and effective rehabilitation therapies to restore the activity of the paralyzed muscles, enhance its ability to resist gravity, reduce GHS, and ultimately achieve the recovery of upper limb function.…”

Section: Discussionmentioning

confidence: 99%

“…In the process of measuring these parameters, each patient was placed in a standardized position [ 2 ]. Patients were seated upright in a chair with their forearms placed on their laps and the elbows unsupported.…”

Section: Methodsmentioning

confidence: 99%

“…GHS can be assessed by measuring the distance between the acromion and the humerus. Kumar et al have confirmed that MSUS measurement of acromion-greater tuberosity (AGT) distance is reliable and effective in assessing GHS in hemiplegic patients [ 2 , 8 ]. Park et al found that increased acromion-lesser tuberosity (ALT) distance was highly correlated with GHS [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Musculoskeletal Ultrasonography Assessment of Functional Magnetic Stimulation on the Effect of Glenohumeral Subluxation in Acute Poststroke Hemiplegic Patients

Yang

Chen

et al. 2018

BioMed Research International

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Background Glenohumeral subluxation (GHS) is common in patients with acute hemiplegia caused by stroke. GHS and upper limb function are closely related. Objective Using musculoskeletal ultrasonography (MSUS) to objectively evaluate the efficacy of functional magnetic stimulation (FMS) in the treatment of GHS in acute hemiplegic patients after stroke. Methods The study used prospective case control study. Stroke patients with GHS were recruited and assigned to control group and FMS group. Control group received electrode stimulation at the supraspinatus and deltoid muscles of the hemiplegic side, while FMS group was stimulated at the same locations. Before and after treatment, the distances of the acromion-greater tuberosity (AGT), acromion-lesser tuberosity (ALT), acromiohumeral distance (AHD), supraspinatus thickness (SST), and deltoid muscle thickness (DMT) in patients' bilateral shoulder joint were measured by MSUS, respectively. Meanwhile, Fugl-Meyer Assessment (FMA) was used to evaluate the improvement of upper limb function. Results 30 patients were recruited. After FMS treatment, there was a significant decrease in the difference value between ipsilateral side and contralateral side of AGT [t = 8.595, P < 0.01], ALT [t = 11.435, P < 0.01], AHD [t = 8.375, P < 0.01], SST [t = 15.394, P < 0.01], and DMT [t = 24.935, P < 0.01], and FMA score increased [t = −13.315, P < 0.01]. Compared with control group, FMS group decreased more significantly in the difference value between ipsilateral side and contralateral side of AGT [t = 2.161, P < 0.05], ALT [t = 3.332, P < 0.01], AHD [t = 8.768, P < 0.01], SST [t = 6.244, P < 0.01], and the DMT [t = 3.238, P < 0.01], and FMA score increased more significantly in FMS group [t = 7.194, P < 0.01]. Conclusion The study preliminarily shows that the MSUS can objectively and dynamically evaluate the treatment effect of GHS in hemiplegic patients. Meanwhile, compared with control group, the FMS is more effective and has fewer side effects, and the long-term effect of FMS is worth further study. This trial is registered with ChiCTR1800015352.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Musculoskeletal Ultrasonography Assessment of Functional Magnetic Stimulation on the Effect of Glenohumeral Subluxation in Acute Poststroke Hemiplegic Patients

Yang

Chen

et al. 2018

BioMed Research International

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“…For the A-GT distance measurements, the lateral edge of the acromion process and the nearest margin of the superior part of the greater tuberosity of the humerus were identified on USG imaging, and the distance was measured between these two bony landmarks (Figure 1). [14] For supraspinatus muscle thickness, in longitudinal imaging, the vertical distance between the upper and lower margins of the muscle at scapular notch line was measured. Using this method, the upper trapezius muscle thickness was measured at the most bulky area of the muscle (Figure 2).…”

Section: Methodsmentioning

confidence: 99%

“…[12,13] Furthermore, it has been shown to be a valid and reliable method for the assessment of the GHS in post-stroke patients. [14] Treatment of shoulder subluxation includes the use of shoulder supports and neuromuscular electrical stimulation (NMES). Several studies have shown that NMES application on supraspinatus and posterior deltoid muscles is an effective treatment method for GHS.…”

mentioning

confidence: 99%

Ultrasonographic assessment of neuromuscular electrical stimulation efficacy on glenohumeral subluxation in patients with hemiplegia: a randomized-controlled study

Türkkan

Öztürk

Uğurlu

et al. 2017

Turk J Phys Med Rehab

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Objectives: This study aims to investigate the short-term effects of neuromuscular electrical stimulation (NMES) on glenohumeral subluxation (GHS) in stroke patients. Patients and methods:This prospective, randomized-controlled study included 24 unilateral hemiplegic patients (10 males, 14 females; mean age 64.1±14.8 years; range 22 to 84 years) with GHS as assessed by ultrasonography between December 2013 and September 2014. The patients were randomly divided into two groups as those in the NMES group (n=12) who were treated with NMES to supraspinatus, upper trapezius, and posterior deltoid muscles combined with conventional physiotherapy and as those in the control group (n=12) who were received conventional physiotherapy alone. Clinical (the Brunnstrom Motor Recovery Stage, Visual Analog Scale [VAS] for Pain and Shoulder Disability Questionnaire [SDQ]) and ultrasonographic (acromion-greater tuberosity distance, thicknesses of supraspinatus, upper trapezius, and posterior deltoid muscles) variables were evaluated before and after treatment in both groups. Results:The SDQ index, acromion-greater tuberosity distance, and supraspinatus muscle thickness were improved in the NMES group, compared to the control group (for all p<0.05). The VAS-pain scores decreased in both groups. There was no statistically significant alterations in the other measurements in both groups (for all p>0.05). The percentage change (%) of the VAS-pain scores was not significantly different between two groups (p=0.03). Conclusion:Our study results showed that GHS decreased after 20 sessions of NMES treatment. Based on these findings, ultrasonography appears to be a proper imaging tool for the evaluation of GHS in stroke patients.

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Effects of scapulo-humeral training on ultrasonographic and clinical evaluations in stroke: a randomized controlled trial

Onursal Kilinç,

Kilinç,

Ayvat

et al. 2024

Topics in Stroke Rehabilitation

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Intra-rater and inter-rater reliability of ultrasonographic measurements of acromion-greater tuberosity distance in patients with post-stroke hemiplegia

Cited by 9 publications

References 21 publications

Musculoskeletal Ultrasonography Assessment of Functional Magnetic Stimulation on the Effect of Glenohumeral Subluxation in Acute Poststroke Hemiplegic Patients

Musculoskeletal Ultrasonography Assessment of Functional Magnetic Stimulation on the Effect of Glenohumeral Subluxation in Acute Poststroke Hemiplegic Patients

Ultrasonographic assessment of neuromuscular electrical stimulation efficacy on glenohumeral subluxation in patients with hemiplegia: a randomized-controlled study

Effects of scapulo-humeral training on ultrasonographic and clinical evaluations in stroke: a randomized controlled trial

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