Hemiplegic Shoulder Pain – A Case Report

Dr. Victoria Kuttan; Dr. Deepak Anap

doi:10.46858/dvvpf.j.

Authors

Dr. Victoria Kuttan
Dr. Deepak Anap

DOI:

https://doi.org/10.46858/dvvpf.j.

Keywords:

Hemiplegia, Shoulder pain, Physiotherapy, VAS, DASH Score

Abstract

Shoulder pain due to hemiplegia is one of the common consequence following stroke. Pain in the shoulder joint negatively affects the mobility, transfers and performing Activity of daily living (ADL’s) and the effective use of hand. The main cause of pain which is impingement due to altered scapula-humeral kinematics. If shoulder pain is not approached at the right phase of rehabilitation can lead to rotator cuff tear in an already weakened upper extremity, thereby will hamper the function to a great extent. Thus in this single case study of a 70 year old patient 4 months post stroke a structured goal directed physiotherapy intervention approaches were administered. These interventions mainly emphasized on treating the cause mainly the pain due to impingement of sub-acromial structures, restricted joint mobility due to capsular adhesion and rotator cuff muscle weakness and altered kinetics and kinematics at the shoulder complex. Intervention led to more than 30% of change for reduction in pain improvement in Range of motion (ROM)decreased muscle tightness and improved muscle flexibility.

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