Physical findings and sonography of hemiplegic shoulder in patients after acute stroke during rehabilitation

Huang, Yu‐Chi; Liang, Pei-Jung; Pong, Ya-Ping; Leong, Chau-Peng; Tseng, Cheng‐Hao

doi:10.2340/16501977-0488

Cited by 60 publications

(65 citation statements)

References 21 publications

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“…About one third of patients with acute stroke have abnormal ultrasound findings in the hemiplegic shoulder when studied at the time of admission to acute inpatient rehabilitation, including effusion in biceps tendon or subacromial bursa; tendinopathy of biceps, supraspinatus, or subscapularis; and rotator cuff tear. 106,107 Such findings are more prevalent in the hemiplegic shoulder than in the nonhemiplegic shoulder and in those with more severe hemiplegia, subluxation, spasticity, limited joint range, and shoulder pain. 106 The frequency of abnormal ultrasound findings in the hemiplegic shoulder increases over the course of rehabilitation in patients with more severe motor impairment.…”

Section: Assessment Prevention and Treatment Of Hemiplegic Shouldermentioning

confidence: 90%

“…106,107 Such findings are more prevalent in the hemiplegic shoulder than in the nonhemiplegic shoulder and in those with more severe hemiplegia, subluxation, spasticity, limited joint range, and shoulder pain. 106 The frequency of abnormal ultrasound findings in the hemiplegic shoulder increases over the course of rehabilitation in patients with more severe motor impairment. 106,107 Although there is an association between abnormal findings on shoulder ultrasound and hemiplegic shoulder pain in patients with acute stroke, a causal association has not been established.…”

Section: Assessment Prevention and Treatment Of Hemiplegic Shouldermentioning

confidence: 90%

“…106 The frequency of abnormal ultrasound findings in the hemiplegic shoulder increases over the course of rehabilitation in patients with more severe motor impairment. 106,107 Although there is an association between abnormal findings on shoulder ultrasound and hemiplegic shoulder pain in patients with acute stroke, a causal association has not been established. Among patients with acute and chronic stroke with hemiplegic shoulder pain, the presence of shoulder tissue injury on imaging is not associated with the severity of pain.…”

Section: Assessment Prevention and Treatment Of Hemiplegic Shouldermentioning

confidence: 99%

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Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,046

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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Section: Assessment Prevention and Treatment Of Hemiplegic Shouldermentioning

confidence: 90%

Section: Assessment Prevention and Treatment Of Hemiplegic Shouldermentioning

confidence: 90%

Section: Assessment Prevention and Treatment Of Hemiplegic Shouldermentioning

confidence: 99%

See 1 more Smart Citation

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,046

840

View full text Add to dashboard Cite

show abstract

“…In these cases, delivery of occupational therapy intervention may be fiscally irresponsible until surgical intervention reduces impingement caused by the pulley. The utility of imaging for differentiation of tissues involved in clinical diagnoses extends to practice settings beyond orthopedics, for example, to examine hemiplegic shoulder pain (Huang, Liang, Pong, Leong, & Tseng, 2010) and secondary tendonopathies after a stroke or brain injury (Falsetti, Acciai, Carpinteri, Palilla, & Lenzi, 2010;Pong et al, 2012).…”

Section: Clinical Reasoningmentioning

confidence: 99%

Role of Sonographic Imaging in Occupational Therapy Practice

Roll

2015

The American Journal of Occupational Therapy

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Occupational therapy practice is grounded in the delivery of occupation-centered, patient-driven treatments that engage clients in the process of doing to improve health. As emerging technologies, such as medical imaging, find their way into rehabilitation practice, it is imperative that occupational therapy practitioners assess whether and how these tools can be incorporated into treatment regimens that are dually responsive to the medical model of health care and to the profession’s foundation in occupation. Most medical imaging modalities have a discrete place in occupation-based intervention as outcome measures or for patient education; however, sonographic imaging has the potential to blend multiple occupational therapy practice forms to document treatment outcomes, inform clinical reasoning, and facilitate improved functional performance when used as an accessory tool in direct intervention. Use of medical imaging is discussed as it relates to occupational foundations and the professional role within the context of providing efficient, effective patient-centered rehabilitative care.

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“…Specifically, evidence of the use of sonographic imaging in physical rehabilitation settings is growing. For example, therapists are using sonography to improve clinical evaluations of painful shoulders in patients with hemiplegia resulting from stroke (Huang, Liang, Pong, Leong, & Tseng, 2010), to document outcomes of therapeutic interventions for patients with spinal cord injuries and cerebral palsy (Dudley-Javoroski, McMullen, Borgwardt, Peranich, & Shields, 2010;Lee et al, 2013), and as a biofeedback intervention tool for pelvic floor disorders in women and patients with low back pain (Ariail, Sears, & Hampton, 2008;Herbert, Heiss, & Basso, 2008).…”

mentioning

confidence: 99%

Exploring Occupational Therapists’ Perceptions of the Usefulness of Musculoskeletal Sonography in Upper-Extremity Rehabilitation

Roll

Gray

Frank

et al. 2015

The American Journal of Occupational Therapy

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MeSH TERMS hand occupational therapy patient care management qualitative research ultrasonography OBJECTIVE. To identify the potential utility of musculoskeletal sonographic imaging in upper-extremity rehabilitation.METHOD. Two occupational therapists in an outpatient hand rehabilitation clinic were recruited by convenience, were trained in the use of sonography, and implemented sonographic imaging in their clinical practice. Qualitative data were obtained during and after the implementation period by means of questionnaires and interviews. Data collection, analysis, and interpretation were completed in an iterative process that culminated in a thematic analysis of the therapists' perceptions. RESULTS.The data indicate four potential areas of utility for musculoskeletal sonography in upper-extremity rehabilitation: (1) mastering anatomy and pathology, (2) augmenting clinical reasoning, (3) supplementing intervention, and (4) building evidence.CONCLUSION. Numerous potential uses were identified that would benefit both therapist and client. Further exploration of complexities and efficacy for increasing patient outcomes is recommended to determine best practices for the use of musculoskeletal sonography in upper-extremity rehabilitation.Roll, S. C., Gray, J. M., Frank, G., & Wolkoff, M. (2015). Brief Report-Exploring occupational therapists' perceptions of the usefulness of musculoskeletal sonography in upper-extremity rehabilitation. American Journal of Occupational Therapy, 69, 6904350020. http://dx

show abstract

Physical findings and sonography of hemiplegic shoulder in patients after acute stroke during rehabilitation

Cited by 60 publications

References 21 publications

Guidelines for Adult Stroke Rehabilitation and Recovery

Guidelines for Adult Stroke Rehabilitation and Recovery

Role of Sonographic Imaging in Occupational Therapy Practice

Exploring Occupational Therapists’ Perceptions of the Usefulness of Musculoskeletal Sonography in Upper-Extremity Rehabilitation

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