THE RELATIONSHIP OF PAINFUL SHOULDER DEVELOPMENT IN HEMIPLEJIA WITH GLENOHUMERAL SUBLUXATION AND FUNCTIONAL STATE

Abstract

Objective: The aim of the study is to determine the relationship between hemiplegic shoulder pain (HSP) and glenohumeral (GH) subluxation, to evaluate the factors that may affect the development of HSP and GH subluxation, and to determine the effects of HSP on functional independence and activities of daily living (ADL).
 Material and Method: Sixty-one hemiplegic patients who admitted to the stroke clinic were included in the study. Shoulder pain, frequency of subluxation, and spasticity were evaluated with anamnesis and clinical examination. Upper limb functions brunnstrom motor stage; Activities of daily living and independence were evaluated with Functional Independence Scale (FIM) and Modified Barthel Index (MBI).
 Results: The HSP was not associated with the duration of stroke, the Brunnstrom motor stage of the upper extremity, the presence of GH subluxation, or spasticity (p> 0.05), but a statistically significant relationship was found between the limitation of shoulder abduction and flexion movements and the development of pain in the shoulder (p 0.05), but it was found to be significantly associated with the Brunnstrom motor stage of the upper extremity (p 0.05).
 Conclusion: In this study, the relationship between shoulder pain and GH subluxation was not determined, but the relationship between limitation of motion and HSP suggests possible soft tissue lesions, and in this respect, education for shoulder protection should be given importance in rehabilitation programs. Considering the relationship between GH subluxation and motor development, early activation of shoulder muscles should be emphasized in the rehabilitation program.