A study on shoulder lesion and injury in shoulder pain stroke patients / 中国康复医学杂志

ABSTRACT

Objective:Using sonography to clarify the shoulder lesion and injury and to evaluate the relationship between sonographic findings and muscle strength of stroke patients with shoulder pain.Method:One hundred and forty three patients with shoulder pain were divided into two groups according to muscle strength of hemiplegic shoulder.Of which,76 patients were in the muscle strength of hemiplegic shoulder below MMT grade 3 group and 67 patients were in the muscle strength of hemiplegic shoulder equal or above MMT grade 3 group.All the patients received ultrasound examination of their hemiplegic shoulders.Result:The total occurrence rate of shoulder lesion and injury was 74.8％(n=107).The occurrence rate of subacromial-subdeltoid bursal hydrops or bursitis was 41.3％(n=59).The occurrence rate of hydrops or inflammation of long head of biceps tendon sheath was 24.5％(n =35).The occurrence rate of tendinitis of rotator cuff was 22.4％(n=32).The occurrence rate of partial or complete tear of rotator cuff was 20.3％(n=29).There was no statistical correlation between muscle strength of hemiplegic shoulder and severity of shoulder lesion and injury(P＞0.05).Conclusion:The occurrence rate of shoulder lesion and injury after stroke was very high.There was no correlation between the severity of shoulder lesion and injury and the muscle strength of hemiplegic shoulder.For the function rehabilitation of upper extremity of stroke hemiplegic patients it is beneficial to find the shoulder lesion and injury earlier and administer effective therapy.