1. Clinical and radiological assessment of hemiplegic shoulder pain in stroke patients
- Author
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Hassan Abd-Elaty El-Sonbaty, Ali Ahmed Abou Elmaaty, Carmen Ali Zarad, and Amany Salama El-Bahnasawy
- Subjects
Stroke ,Shoulder pain ,Radiological assessment ,Ashworth Scale ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Abstract
Abstract Background Hemiplegic shoulder pain (HSP) is one of the most common complications of stroke. This work aimed to evaluate and analyze the clinical and radiological features of painful shoulder in hemiplegic stroke patients with evaluating the diagnostic role of shoulder ultrasound and shoulder MR imaging in assessment of the causes of shoulder pain. Methods 210 stroke patients with shoulder affection within 3 years of stroke development were enrolled. Clinical assessment including Medical Research Council scoring, The Brunnström motor recovery and Ashworth Scale. Shoulder ultrasound and MR imaging were done for 74 patients with painful hemiplegic shoulder. Results The prevalence of HSP was 35.2% with statistically significantly higher proportion of shorter disease duration, lower muscle power, lower BMR stage with higher proportion of bicipital tendinitis and complex regional pain syndrome in major versus moderate dependence (P
- Published
- 2022
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