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Related Experiment Videos

Malalignment of the shoulder after stroke.

R G Smith, J G Cruikshank, S Dunbar

    British Medical Journal (Clinical Research Ed.)
    |April 24, 1982
    PubMed
    Summary

    Shoulder malalignment is common after stroke, affecting nearly half of patients. Early detection through specific X-ray views and proper handling can prevent functional limitations.

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    Area of Science:

    • Neurology
    • Radiology
    • Orthopedics

    Background:

    • Stroke often leads to immobility and potential complications.
    • Shoulder issues are frequently observed in stroke survivors, impacting rehabilitation.

    Purpose of the Study:

    • To investigate the incidence and timing of radiographic shoulder malalignment in stroke patients.
    • To identify factors contributing to shoulder malalignment post-stroke.

    Main Methods:

    • Prospective study of 110 consecutive stroke unit admissions.
    • Radiographic assessment of shoulder alignment on the affected side.
    • Follow-up imaging over 12 months.

    Main Results:

    • 46% of patients exhibited shoulder malalignment.
    • 37% showed malalignment on initial X-rays; 14% developed it within 12 months.
    • Malalignment may be missed without erect, unsupported arm radiography.

    Conclusions:

    • Shoulder malalignment is a frequent early complication of stroke.
    • Early detection and intervention are crucial for preventing functional deficits.
    • Proper patient handling, positioning, and passive range of motion are key preventive measures.

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