Sonographic detection of inferior subluxation in post-stroke hemiplegic shoulders

Publications

Share / Export Citation / Email / Print / Text size:

Journal of Ultrasonography

Polish Ultrasound Society (Polskie Towarzystwo Ultrasonograficzne)

Subject: Medicine

GET ALERTS

ISSN: 2084-8404
eISSN: 2451-070X

DESCRIPTION

0
Reader(s)
0
Visit(s)

Comment(s)
0
Share(s)

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue / page

Related articles

VOLUME 17 , ISSUE 69 (June 2017) > List of articles

Sonographic detection of inferior subluxation in post-stroke hemiplegic shoulders

Bukunmi M. Idowu * / Oluwagbemiga O. Ayoola / Victor A. Adetiloye / Morenikeji A. Komolafe / Babalola I. Afolabi

Keywords : stroke, hemiplegia, shoulder subluxation, ultrasonography, acromion-greater tuberosity distance

Citation Information : Journal of Ultrasonography. Volume 17, Issue 69, Pages 106-112, DOI: https://doi.org/10.15557/JoU.2017.0015

License : (CC BY 4.0)

Received Date : 29-November-2016 / Accepted: 14-March-2017 / Published Online: 30-June-2016

ARTICLE

ABSTRACT

Aim of the study: To evaluate the usefulness of ultrasonographic acromion-greater tuberosity distance measurement and Shoulder ratio in detecting post-stroke inferior shoulder subluxation. Material and methods: Forty-five hemiplegic stroke patients and 45 controls underwent shoulder sonography to measure their acromion-greater tuberosity distance. Side-to-side acromion-greater tuberosity distance differences and Shoulder ratios were derived from the acromion-greater tuberosity distance values. The long head of biceps tendon, subscapularis tendon, supraspinatus tendon, and the infraspinatus tendon were also evaluated to exclude full thickness tendon tears. Data were analyzed using the Statistical Package for Social Sciences version 20.0 for windows. Normality of data distribution was checked using the Kolmogorov–Smirnov test. Mann–Whitney U test and Chi-square tests were utilized. Results: Hemiplegic and control shoulders’ acromion-greater tuberosity distance values were 2.8 ± 0.6 cm and 2.4 ± 0.4 cm, respectively (p = 0.001). Hemiplegic and control shoulder ratios were 1.3 ± 0.3 and 1.1 ± 0.1, respectively; p < 0.001. Point biserial correlation showed that the presence of subluxation correlated moderately with higher shoulder ratios in all the hemiplegics (rpb = 0.520; p < 0.001). Conclusion: Our results suggest that acromion greater tuberosity distance measurement is useful for detecting inferior shoulder subluxation. Shoulder ratio may be of complementary or supplemental value to acromion-greater tuberosity distance difference.

Content not available PDF Share

FIGURES & TABLES

REFERENCES

  1. Gould R, Barnes SS: Shoulder pain in hemiplegia. Available from: http://emedicine.medscape.com/article/328793-overview.
  2. Huang SW, Liu SY, Tang HW, Wei TS, Wang WT, Yang CP: Relationship between severity of shoulder subluxation and soft-tissue injury in hemiplegic stroke patients. J Rehabil Med 2012; 44: 733–739.
    [CROSSREF]
  3. Paci M, Nannetti N, Rinaldi LA: Glenohumeral subluxation in hemiplegia: an overview. J Rehabil Res Dev 2005; 42: 557–568.
    [CROSSREF]
  4. Moreels B, Walker W, Beckers J, Buxton S, O’Reilly N: Shoulder subluxation. Available from: http://www.physio-pedia.com/Shoulder_subluxation.
  5. Kumar P, Kassam J, Denton C, Taylor E, Chatterley A: Risk factors for inferior shoulder subluxation in patients with stroke. Phys Ther Rev 2010; 15: 3–11.
    [CROSSREF]
  6. Park GY, Kim JM, Sohn SI, Shin IH, Lee MY: Ultrasonographic measurement of shoulder subluxation in patients with post-stroke hemiplegia. J Rehabil Med 2007; 39: 526–530.
    [CROSSREF]
  7. Kumar P, Mardon M, Bradley M, Gray S, Swinkels A: Assessment of glenohumeral subluxation in poststroke hemiplegia: Comparison between ultrasound and fingerbreadth palpation methods. Phys Ther 2014; 94: 1622–1631.
    [CROSSREF]
  8. Kumar P, Bradley M, Swinkels A: Within-day and day-to-day intrarater reliability of ultrasonographic measurements of acromiongreater tuberosity distance in healthy people. Physiother Theory Pract 2010; 26: 347–351.
    [CROSSREF]
  9. Kumar P, Chetwynd J, Evans A, Wardle G, Crick C, Richardson B: Interrater and intrarater reliability of ultrasonographic measurements of acromion-greater tuberosity distance in healthy people. Physiother Theory Pract 2011; 27: 172–175.
    [CROSSREF]
  10. Kumar P, Bradley M, Gray S, Swinkels A: Reliability and validity of ultrasonographic measurements of acromion-greater tuberosity distance in poststroke hemiplegia. Arch Phys Med Rehabil 2011; 92: 731–736.
    [CROSSREF]
  11. Kumar P, Cruziah R, Bradley M, Gray S, Swinkels A: Intra-rater and inter-rater reliability of ultrasonographic measurements of acromion-greater tuberosity distance in patients with post-stroke hemiplegia. Top Stroke Rehabil 2016; 23: 147–153.
    [CROSSREF]
  12. Duerr M: Reliability and accuracy of distance measurements between shoulder bony landmarks evaluated by ultrasound in asymptomatic subjects [Master of Philosophy Thesis]. Auckland University of Technology, Auckland, New Zealand 2010.
  13. Cholewinski JJ, Kusz DJ, Wojciechowski P, Cielinski LS, Zoladz MP: Ultrasound measurement of rotator cuff thickness and acromiohumeral distance in the diagnosis of subacromial impingement syndrome of the shoulder. Knee Surg Sports Traumatol Arthrosc 2008; 16: 408–414.
    [CROSSREF]
  14. Lev-Toaff AS, Karasick D, Rao VM: “Drooping shoulder” – nontraumatic causes of glenohumeral subluxation. Skeletal Radiol 1984; 12: 34–36.
    [CROSSREF]
  15. Resnik CS: Septic arthritis: a rare cause of drooping shoulder. Skeletal Radiol 1992; 21: 307–309.
    [CROSSREF]
  16. Pop T: Subluxation of the shoulder joint in stroke patients and the influence of selected factors on the incidence of instability. Ortop Traumatol Rehabil 2013; 15: 259–267.
    [CROSSREF]
  17. Suethanapornkul S, Kuptniratsaikul PS, Kuptniratsaikul V, Uthensut P, Dajpratha P, Wongwisethkarn J: Post stroke shoulder subluxation and shoulder pain: a cohort multicenter study. J Med Assoc Thai 2008; 91: 1885–1892.
    [CROSSREF]
  18. Kumar P, Bourke C, Flanders J, Gorman T, Patel H: The effect of arm position on the ultrasonographic measurements of the acromion- greater tuberosity distance. Physiother Theory Pract 2014; 30: 171–177.
    [CROSSREF]
  19. Idowu BM, Ayoola OO, Adetiloye VA, Komolafe MA: Sonographic evaluation of structural changes in post-stroke hemiplegic shoulders. Pol J Radiol 2017; 82: 141–148.
    [CROSSREF]

EXTRA FILES

COMMENTS