Causes of dysfunction of shoulder joint in patients after stroke

Teresa Pop
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Andrzej Kwolek
Instytut Fizjoterapii Wydziału Medycznego Uniwersytetu Rzeszowskiego, Rzeszów, Polska
Institute of Physiotherapy of University of Rzeszów, Poland

Abstract

Dysfunction of the shoulder takes place at about 70% of patients after stroke hampering a rehabilitation process. Aim of work: evaluation of causes of dysfunction of a shoulder joint in patients with hemiparesis after stroke. Material and method: research was carried out in a group of 60 patients after stroke with dysfunction of a shoulder joint treated at the rehabilitation department. Ultrasonographic examination was performed of structures of both shoulder joints, kinetic efficiency of the upper extremity was evaluated by Brunnström test and a degree of muscular tone in Ashworth scale. Results: Damage of the joint structures more often occurred in patients in first months since getting sick and decreased muscle tone and functional efficiency. Key words: shoulder joint, dysfunction, causes

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