Neuro-physiotherapist often comes across patients with hemiplegic shoulder pain. A neuro-physiotherapist is trained to understand and treat the changes caused by neurological conditions. Following the acute phase of a cerebral vascular accident (CVA) the patient enters a rehabilitative phase that will ultimately impact on their residual functional ability. During this rehabilitative phase common complications include shoulder pain and subluxation of the gleno-humeral joint. These complications have the potential to impact on the return of upper extremity function and in turn residual functional disability. . Early intervention of physiotherapy in case of stroke patients can reduce their secondary complications and could be expected to facilitate better functional outcome.
Shoulder pain- Shoulder pain is probably the most common complication associated with hemiplegia and has the potential to delay rehabilitation as the painful joint may mask improvement in motor function. Shoulder pain affects from 16% to 72% of patients after a cerebrovascular accident. Hemiplegic shoulder pain causes considerable distress and reduced activity and can markedly hinder rehabilitation.
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