Department of Physical Medicine and Rehabilitation, Temple University Hospital/ MossRehab, Philadelphia, Pennsylvania.
Top Stroke Rehabil. 2012 Sep-Oct;19(5):444-56. doi: 10.1310/tsr1905-444.
Poststroke shoulder pain is a common issue and can be caused by glenohumeral subluxation. This entity hinders function and quality of life and is caused by changes in tone and loss of fi ne control of the shoulder joints' supporting structures after a stroke. Current treatments are limited in number and effectiveness and have significant problems and limitations to their use. Furthermore, prior to percutaneous implantable neuromuscular electrical stimulation, there was no evidence for any treatment to provide relief for chronic hemiplegic shoulder pain from glenohumeral subluxation. This clinical review provides a comprehensive review of the anatomy, pathogenesis, clinical features, management, and clinical efficacy of current treatment modalities.
脑卒中后肩关节疼痛是一种常见问题，可能由盂肱关节半脱位引起。这种情况会妨碍功能和生活质量，是由于脑卒中后肩部关节支撑结构的张力变化和精细控制丧失所致。目前的治疗方法数量有限，效果也有限，而且在使用过程中存在显著的问题和限制。此外，在经皮植入式神经肌肉电刺激之前，尚无任何治疗方法能缓解盂肱关节半脱位引起的慢性偏瘫性肩痛。本临床综述全面回顾了当前治疗方法的解剖学、发病机制、临床特征、处理方法和临床疗效。
