Causes of the Hemiplegic Shoulder Pain.

, Yoon, Tea Sang; , Kim, Dae Hwan; , Park, Jin Woo; , Kwon, Bum Sun; , Ryu, Ki Hyung; , Lee, Ho Jun; , Park, Nyo Kung; , Shim, Jae Hoon

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2010;34(2):158-162.

Yoon, Tea Sang , Kim, Dae Hwan , Park, Jin Woo , Kwon, Bum Sun , Ryu, Ki Hyung , Lee, Ho Jun , Park, Nyo Kung , Shim, Jae Hoon

Department of Physical Medicine & Rehabilitation, College of Medicine, Dongguk University, Korea. jinwoo_park@duih.org

편마비 후 견관절 통증의 원인 분석

윤태상, 김대환, 박진우, 권범선, 류기형, 이호준, 박여경, 심재훈

동국대학교 의과대학 재활의학교실

Abstract

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. (J Korean Acad Rehab Med 2010; 34: 158-162)

Key Words: Stroke, Shoulder pain, Causes, Etiology