LONG-TERM CHANGES IN THICKNESS OF BICEPS TENDON AND ROTATOR CUFF AT DIFFERENT STAGES OF FUNCTIONAL RECOVERY OF HEMIPLEGIC SHOULDER- AN OBSERVATIONAL STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 52
Abstract
BACKGROUND Shoulder pain and stiffness is a common problem after stroke. Many types of shoulder pathology after stroke have been reported. Ultrasonography can diagnose most of the pathologies in and around the shoulder. Aims and Objectives-To study the relationship of biceps tendon thickness and rotator cuff thickness at different stages of functional recovery of hemiplegic shoulder. MATERIALS AND METHODS This is a prospective observational study of patients with hemiplegic shoulder attending the outpatient clinic of physical medicine and rehabilitation, GMC, Kozhikode. Adult stroke patients irrespective of duration of stroke, who were willing to give an informed valid consent, were included in the study. RESULTS Most common ultrasonographic soft tissue pathological changes in hemiplegic shoulder were bicipital tendinitis and rotator cuff tendinitis thereby increasing the thickness of corresponding tendon. There was significant reduction in thickness of these structures following a structured rehabilitation program. CONCLUSION Soft tissue ultrasonography can be used in diagnosis of shoulder pain in hemiplegia. Serial evaluation helps in tailoring a structured rehabilitation program.
Authors and Affiliations
Pradeep Kumar Kalathil, Abdul Gafoor S. , Vasudevan T. K. , Muralidharan P. C. , Sreejith K
Keywords
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- EP ID EP550487
- DOI 10.14260/jemds/2018/1217
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