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Related Concept Videos

Muscles of the Shoulder01:23

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The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
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Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
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Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

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Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
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Muscles that Move the Arm01:31

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Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
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Muscles that Move the Head01:19

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The muscles that move the head are a dynamic and complex group of structures that work together to facilitate a wide range of head movements, including rotation, flexion, extension, and lateral bending.
The bilateral sternocleidomastoid, or SCM, and the suprahyoid and infrahyoid muscles are significant head flexors. The SCM muscles originate at the sternum and clavicle and attach to the mastoid process of the temporal bone. The SCM contracts bilaterally to bend the head forward, whereas...
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Assessment of the Cardiovascular System III: Palpation01:27

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Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
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Reverse Total Shoulder Arthroplasty
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Hemiplegic Shoulder Pain.

Richard D Wilson1, John Chae1

  • 1Physical Medicine and Rehabilitation, MetroHealth Medical Center, MetroHealth Rehabilitation Institute, Case Western Reserve University, 4229 Pearl Rd., Cleveland, OH 44109, USA.

Physical Medicine and Rehabilitation Clinics of North America
|November 3, 2015
PubMed
Summary
This summary is machine-generated.

Hemiplegic shoulder pain is common after stroke, often with multiple causes. This guide offers rehabilitation specialists a structured approach for evaluating and managing this challenging condition in stroke survivors.

Keywords:
DiagnosisShoulder painStrokeTreatment

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Pain Management

Background:

  • Hemiplegic shoulder pain (HSP) is a frequent complication following stroke.
  • HSP can arise from various pathologies and often has multifactorial origins.
  • Effective management requires a thorough understanding of potential causes.

Purpose of the Study:

  • To present a systematic approach for the evaluation of hemiplegic shoulder pain.
  • To outline management strategies for rehabilitation specialists treating stroke survivors with HSP.
  • To consolidate current knowledge on the assessment and treatment of HSP.

Main Methods:

  • Review of existing literature on HSP diagnosis and treatment.
  • Development of a clinical pathway for HSP evaluation.
  • Integration of evidence-based management principles.

Main Results:

  • Identified common pathologies contributing to HSP.
  • Outlined a structured diagnostic process for HSP.
  • Provided a framework for multidisciplinary management strategies.

Conclusions:

  • A systematic evaluation is crucial for accurate HSP diagnosis.
  • Multifactorial causes necessitate individualized treatment plans.
  • Rehabilitation specialists can effectively manage HSP with a structured approach.