Coskun Benlidayi Ilke, Basaran Sibel
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Cukurova University, , Adana, Turkey.
Pract Neurol. 2014 Apr;14(2):88-91. doi: 10.1136/practneurol-2013-000606. Epub 2013 Aug 12.
Hemiplegic shoulder pain is common in stroke survivors, developing in up to 54% of patients. The underlying mechanisms include soft tissue lesions, impaired motor function and central nervous system-related phenomena. Hemiplegic shoulder pain has many underlying causes and is challenging to manage, requiring a team approach, including physicians, therapists and caregivers. The management strategy must target the underlying causes. Preventative measures, such as positioning and handling, can reduce the risk of developing hemiplegic shoulder pain. We have reviewed the literature on hemiplegic shoulder pain, and used this to categorise the underlying mechanisms, and to explore the best management strategies.
偏瘫性肩痛在中风幸存者中很常见，高达54%的患者会出现这种情况。其潜在机制包括软组织损伤、运动功能受损以及与中枢神经系统相关的现象。偏瘫性肩痛有多种潜在病因，治疗颇具挑战性，需要医生、治疗师和护理人员组成的团队共同应对。治疗策略必须针对潜在病因。诸如体位摆放和护理操作等预防措施可降低发生偏瘫性肩痛的风险。我们查阅了有关偏瘫性肩痛的文献，并以此对潜在机制进行分类，进而探索最佳治疗策略。
