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KMID : 0361420100340020158
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Journal of Korean Academy of Rehabilitation Medicine
2010 Volume.34 No. 2 p.158 ~ p.162
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Causes of the Hemiplegic Shoulder Pain
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Yun Tae-Sang
Kim Dae-Hwan
Park Jin-Woo
Kwon Bum-Sun
Ryu Ki-Hyung
Lee Ho-Jun
Park Nyo-Kyung
Shim Jae-Hoon
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Abstract
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Objective: To find out how many causes constitute hemiplegic shoulder pain (HSP) and how they distribute in an individual patient.
Method: Twenty-three consecutive patients with HSP which had newly developed within 3 months after stroke were enrolled from January 2008 till July, 2008. They all performed a passive range of motion test for adhesive capsulitis, modified Ashworth test for spasticity, simple x-ray for subluxation, ultrasonography for rotator cuff problems and three- phase bone scintigraphy for complex regional pain syndrome (CRPS). The causes of HSP were analyzed in number and distribution.
Results: Average 2.26 causes constituted with HSP in an individual patient. Most common causes were adhesive capsulitis and CRPS (respectively 14 patients). Two patients had 4 and eight patients had 3 types of shoulder pathology.
Conclusion: More than two types of shoulder pathology existed in a patient with HSP. These findings shoulde be carefully considered when treating the patients with HSP.
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KEYWORD
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Stroke, Shoulder pain, Causes, Etiology
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