Glenohumeral Subluxation in Hemiplegia: an Overview

Dean Reinke
Deans' Stroke Musing

Friday, May 25, 2012

In case this is one of your problems, they do talk a bit about shoulder pain which was one of my problems although my shoulder never subluxed. This has nothing to do with chiropractic subluxation. Glenohumeral Subluxation in Hemiplegia: an Overview

The shoulder complex consists of four separate joints, which afford it incredible mobility in all planes of motion, but at the expense of its stability. The glenohumeral joint (GHJ) relies on the integrity of muscular and capsuloligamentous structures rather than bony conformation for its stability. Injury or paralysis of muscles around the shoulder complex may lead to GHJ subluxation. Glenohumeral subluxation (GHS), a frequent complication for patients with a poststroke hemiplegia, is reported to be present in 17 to 81 percent of patients with hemiplegia following stroke, However, GHS’s role in poststroke complications is still controversial. Although the impact of GHS on the development of shoulder pain (SP) and upper-limb functional recovery has not been completely explained, a number of authors consider GHS an important source of SP. Moreover, several recent reviews focused on SP describe GHS management as the main intervention to prevent SP. Thus, although GHS is probably the most cited problem causing shoulder complications after stroke, no paper is available that focuses directly on this problem and describes in detail the main aspects of the origin, assessment, or treatment of this frequent
and poorly understood complication.

This paper intends to —

• provide an extensive overview on GHS,
• help explain its role in poststroke complications,
• report the reliability and validity of clinical evaluations, and,
• summarize the effectiveness studies on its prevention and management.

Rest at the link.....

See the original article:
      Glenohumeral Subluxation in Hemiplegia: an Overview
      in Deans' Stroke Musing