Sonography and physical findings in stroke patients with hemiplegic shoulders: A longitudinal study

Pong, Ya-Ping; Wang, Lin-Yi; Huang, Yu‐Chi; Leong, Chau-Peng; Liaw, Mei-Yun; Chen, Hsuan‐Yu

doi:10.2340/16501977-0987

Cited by 41 publications

(53 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The hemiplegic shoulders exhibited significantly more sonographic abnormalities than the unaffected shoulders and the control shoulders, which is in agreement with the findings of previous studies [10,17,20,21]. These results show that hemiplegia caused significant shoulder soft tissue damage in the recruited stroke survivors, with a mean of approximately three sonographic abnormalities per hemiplegic shoulder, which was not observed in the age- and sex-matched controls .…”

Section: Discussionsupporting

confidence: 91%

“…These findings are generally in agreement with the works of previous researchers [16,17,20–24] but differ from others who reported SASD effusion [2,9,13] and adhesive capsulitis [25–27] as their main findings. The differences could be due partly to the fact that those with coexisting LHBT/SASD effusions were not separated from those with isolated SASD effusion and isolated LHBT effusion during the data analysis, possibly increasing the frequency of both findings.…”

Section: Discussionsupporting

confidence: 84%

“…This rate (100%) is much higher than the 60.5–85% reported by other studies [9,17,20,22], and may be due to the fact that some of these studies recruited acute hemiplegics only [9]. Moreover, subluxation was not included among their sonographic variables, which was seen in 44% of hemiplegic shoulders in the present study.…”

Section: Discussioncontrasting

confidence: 69%

See 2 more Smart Citations

Sonographic Evaluation of Structural Changes in Post-Stroke Hemiplegic Shoulders

et al. 2018

View full text Add to dashboard Cite

SummaryBackgroundStroke and hemiplegia are frequent complications of stroke. This study was performed to sonographically evaluate post-stroke hemiplegic shoulders and explore possible relationship(s) between the sonographic findings and clinical indices.Material/MethodsForty-five stroke patients and 45 age- and sex-matched controls were recruited. Standard sonographic examination of both shoulders was performed to assess for joint subluxation, rotator cuff tears, tendinosis, subacromial-subdeltoid bursitis or effusion and adhesive capsulitis.ResultsHemiplegic shoulders exhibited significantly higher number of pathologies compared to the unaffected shoulders and shoulders of controls (p=0.000). One or more structural abnormalities were found in all 45 (100%) hemiplegic shoulders, 25 (55.6%) unaffected shoulders of the stroke subjects, and 39 (43.3%) control shoulders. The most frequent pathologies in the hemiplegic shoulders were the following: tendinosis of the long head of bicep tendon (48.9%), inferior shoulder subluxation (44.4%), co-existing subacromial-subdeltoid bursa/long head of bicep tendon sheath effusion (44.4%), and long head of bicep tendon sheath effusion only (40%). Tendinosis of the long head of bicep tendon was commoner in hemiplegic shoulders with poor motor status than those with good motor status.ConclusionsHemiplegic shoulders have significantly higher number of structural abnormalities than unaffected shoulders and the shoulders of controls. Hemiplegic stroke patients should undergo ultrasonography of the hemiplegic shoulder to define the nature and extent of soft tissue injuries prior to physical therapy.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 84%

See 1 more Smart Citation

Sonographic Evaluation of Structural Changes in Post-Stroke Hemiplegic Shoulders

et al. 2018

View full text Add to dashboard Cite

show abstract

“…For upper-extremity conditions, sonography has been used by rehabilitation providers to identify causes of shoulder pain in clients with hemiplegia (Pong et al, 2012), as well as to begin differentiating pathological presentation and severity for patients with lateral epicondylitis (Chourasia et al, 2013) and carpal tunnel syndrome (Roll, Evans, Li, Sommerich, & Case-Smith, 2013;Roll, Volz, Fahy, & Evans, in press). The therapists in this study mentioned that intervention planning could be enhanced by identifying the specific location and progression of pathological changes.…”

Section: Discussionmentioning

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

View full text Add to dashboard Cite

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

“…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

View full text Add to dashboard Cite

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.

show abstract

Sonography and physical findings in stroke patients with hemiplegic shoulders: A longitudinal study

Abstract: Hemiplegic shoulder pain was correlated with lower motor function level and shoulder range of motion limitation in both stages. Shoulder spasticity and abnormal sonographic findings were correlated with hemiplegic shoulder pain during the chronic stage.

Cited by 41 publications

References 18 publications

Sonographic Evaluation of Structural Changes in Post-Stroke Hemiplegic Shoulders

Sonographic Evaluation of Structural Changes in Post-Stroke Hemiplegic Shoulders

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

Role of Sonographic Imaging in Occupational Therapy Practice

Contact Info

Product

Resources

About