RHEUMATOLOGIC COMPLICATIONS OF SHOULDER JOINT AFTER STROKE

Azeez Al-Hamadani, Hasan; Abunayla, Abdulamir; Noah Hasan, Zaki

	RHEUMATOLOGIC COMPLICATIONS OF SHOULDER JOINT AFTER STROKE
IRAQI JOURNAL OF MEDICAL SCIENCES
Article 1, Volume 6, Issue 2, 2008, Pages 110-115
Authors
Hasan Azeez Al-Hamadani; Abdulamir Abunayla; Zaki Noah Hasan
Abstract
Background: Shoulder pain is one of the complications that happened in patient suffered from hemiplegia. There are many pathological processes have been postulated as causes of painful hemiplegics shoulder after stroke. One of the causes is Rotator cuff syndrome. Other causes of shoulder pain are biceptal tendonitis; Subacromial and sub-deltoid Bursitis, Adhesive capsulitis (frozen shoulder) is a common painful condition associated with loss of active movement in the direction of external rotation and abduction. Objective: The aim of this study is to analyze shoulder pain and its correlation with the different clinical aspects of cerebral dysfunction. Patients and method: 56 patients affected by different types of stroke were enrolled in this study , each patient was examined by neurologist, CT scan then done and referred to a consultant rheumatologist at Al-Kindi hospital for assessment of his shoulder area, the patient then investigated thoroughly for his or her shoulder pain. Results and conclusion: The study showed high correlation between shoulder pain and older age patients, aphasia, cortical sensory defects. The shoulder pain development is more common in older age group. Patients with cortical involvement are at high risk to develop shoulder pain. The shoulder pain development is not related to the side of hemiplagia, sex and grading of muscle weakness.
Keywords
shoulder joint; Stroke

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