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Review Article



Physical Therapy Intervention in Post Stroke Shoulder Subluxation: A Narrative Review

Mazen Alqahtani.




Abstract

Objective: The purpose of this narrative review is to summarize the recent advances in Glenohumeral subluxation (GHS) treatment approaches.

Background: Glenohumeral subluxation (GHS) subluxation is found 81% of the individuals following stroke, a preventable secondary complication often accompanied with poor upper limb function. GHS is also considered as an important risk factor for shoulder pain and other problems. GHS is a complex phenomenon with very little understanding of its pathomechanics.

Method: The literature was obtained by searching in computerized database. Evidence was obtained from articles published in peer-reviewed journal and published in English language.

Discussion and Conclusion: Ultrasound measurements are considered the best method of quantifying GHS. Clinical evaluation such as finger-breadth method and sulcus sign can be useful and quick clinical assessment tool. Novel methods such as Functional electrical stimulation and tapping method are effective in an acute stage of hemiplegia and arm slings have been shown a negative impact on rehabilitation of GHS, However, it shall be used for a shorter period of time.

Key words: Stroke rehabilitation, Glenohumeral subluxation, Physical Therapy intervention






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