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Post-stroke shoulder subluxation: a concern for neuroscience nurses.
Cydnee Seneviratne1, Karen L Then, Marlene Reimer
1Faculty of Nursing, University of Calgary. ccsenevi@ucalgary.ca
Axone (Dartmouth, N.S.)
|November 2, 2005
Summary
Neuroscience nurses play a crucial role in preventing shoulder pain post-stroke. Their involvement in patient positioning and transfers can significantly reduce the risk of shoulder subluxation and associated injury in hemiplegic patients.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Nursing Science
Background:
- Stroke-induced hemiplegia frequently leads to shoulder injury and pain, affecting approximately 84% of patients.
- Shoulder subluxation is a common complication resulting from hemiplegia and spasticity, necessitating preventative strategies.
Purpose of the Study:
- To elucidate the causes of shoulder subluxation and pain following stroke.
- To review current evidence-based practices for preventing and treating shoulder subluxation.
- To explore the specific contributions of acute neuroscience nurses in mitigating shoulder subluxation and pain in hemiplegic stroke survivors.
Main Methods:
- Literature review of current best practices in shoulder subluxation prevention and treatment.
- Analysis of the role of neuroscience nurses in stroke patient care, focusing on positioning and transfer techniques.
Main Results:
- Current therapies like range of motion and functional electrical stimulation show promise but are often limited to physiotherapists.
- Neuroscience nurses are integral to stroke care, performing essential tasks like patient transfers and positioning.
Conclusions:
- Neuroscience nurses can actively prevent or reduce shoulder subluxation and pain through proper patient handling techniques.
- Integrating nursing interventions into the multidisciplinary approach can enhance outcomes for stroke patients at risk of shoulder injury.