Rotator cuff tear and glenohumeral instability : a systematic review.

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Abstract

[Indexed for MEDLINE] 9. Neurologia. 2012 May;27(4):234-44. doi: 10.1016/j.nrl.2011.02.010. Epub 2011 Apr 22. [Painful hemiplegic shoulder in stroke patients: causes and management]. [Article in Spanish] Murie-Fernández M(1), Carmona Iragui M, Gnanakumar V, Meyer M, Foley N, Teasell R. Author information: (1)Departamento de Neurología, Clínica Universidad de Navarra, Universidad de Navarra, Pamplona, Navarra, España. manumurie@gmail.com INTRODUCTION: The hemiplegic shoulder pain is common after a stroke. Its appearance brings pain and limits daily living activities as well as participation in specific Neuro-rehabilitation programs. All this leads to a worse functional outcome. Good management of patients can reduce both the frequency and intensity of shoulder pain, improving functional outcome. DEVELOPMENT: We conducted a literature search of various databases between 1980 and 2008. The articles were evaluated using the PEDro scoring system. Five evidence levels were established for the conclusions. CONCLUSIONS: Shoulder subluxation, occurs at an early stage after stroke and is associated with subluxation of the shoulder joint and spasticity (mainly subscapularis and pectoralis). Slings prevent subluxation of the shoulder. It is preferable to move within a lower range of motion and without aggression to prevent the occurrence of shoulder pain. The injection of corticosteroids does not improve pain and range of motion in hemiplegic patients, while botulinum toxin combined with physical therapy appears to reduce hemiplegic shoulder pain. Copyright © 2011 Sociedad Española de Neurología. Published by Elsevier Espana. All rights reserved. DOI: 10.1016/j.nrl.2011.02.010