Article
Clinical Neurology
Yaomei Li, Siqi Yang, Lijun Cui, Yong Bao, Lin Gu, Huijuan Pan, Jixian Wang, Qing Xie
Summary: Hemiplegic shoulder pain is a common complication after stroke, which hinders the rehabilitation of upper extremity motor function. This study observed the prevalence of post-stroke shoulder pain in the middle-aged and elderly population, identified the risk factors, and explored its effect on stroke outcome. Shoulder pain was more likely to occur in women, patients with large-area stroke, increased tension of biceps or triceps, subluxation, and limited range of motion. Patients with shoulder pain had significantly lower ability in daily living than those without shoulder pain.
FRONTIERS IN NEUROLOGY
(2023)
Article
Clinical Neurology
Asude Uzdu, Yesim Kirazli, Hale Karapolat, Burcu Unlu, Goksel Tanigor, Funda Atamaz Calis
Summary: The study aimed to examine the effects of PRP on hemiplegic shoulder pain, but found no significant difference between PRP and placebo in pain relief and functional outcomes. Further research is still needed to determine the efficacy of PRP in treating hemiplegic shoulder pain.
NEUROLOGICAL SCIENCES
(2021)
Article
Behavioral Sciences
Mincong Lei, Yidi Wang, Qian Chen, Peng Huang, Yige Li, Yuanyuan Jia, Dianhuai Meng
Summary: This study provides new insights into the diagnosis and treatment of hemiplegic shoulder pain (HSP) by investigating changes in serum pain mediators. The results suggest that patients with HSP have a higher risk of joint mobility disorders and depression. Spasticity may play a significant role in the development of shoulder pain. Additionally, calcitonin gene-related peptide (CGRP) is believed to be the major pain mediator in HSP, indicating that HSP may not be inflammatory.
BRAIN AND BEHAVIOR
(2023)
Review
Rehabilitation
Alessandro de Sire, Lucrezia Moggio, Andrea Demeco, Francesco Fortunato, Riccardo Spano, Vincenzo Aiello, Nicola Marotta, Antonio Ammendolia
Summary: This systematic review and meta-analysis study showed that combining other rehabilitative techniques with conventional rehabilitation was more effective than conventional rehabilitation alone in the management of patients with HSP.
ANNALS OF PHYSICAL AND REHABILITATION MEDICINE
(2022)
Article
Clinical Neurology
Fan Jia, Xin-Rui Zhu, Ling-Yu Kong, Jie-Cheng Fan, Zong-Jing Zhu, Li-Zhen Lin, Shu-Yun Zhang, Xiang-Zhen Yuan
Summary: This study aims to explore the correlation between shoulder pain and muscle stiffness in stroke patients. Shear wave elastography was used to quantify the stiffness of internal rotation muscles, and it was found that the pectoralis major, teres major, and latissimus dorsi had increased stiffness in patients. The stiffness of the pectoralis major was correlated with shoulder pain intensity, and the stiffness of the teres major was correlated with shoulder mobility. These findings provide new insights for the treatment of shoulder pain in stroke patients.
FRONTIERS IN NEUROLOGY
(2023)
Article
Clinical Neurology
Hui-Min Xie, Xiao-Tan Zhang, Lin Xu, Ning Wang, Rui Wang, Zi-Shan Jia, Li-Ning Zhang
Summary: This study used MRI to investigate the differences in findings between hemiplegic shoulder pain (HSP) patients with or without subluxation after stroke. The results suggest that HSP patients may be prone to bursa effusion, rotator cuff injury, ligament injury, and cartilage injury. Patients with subluxation are more likely to have long bicipital tendon-glenoid labrum injury, glenoid labrum injury, and bone marrow edema.
FRONTIERS IN NEUROLOGY
(2022)
Article
Medicine, General & Internal
Na Hao, Mingming Zhang, Yuling Li, Yingnan Guo
Summary: This study investigated the risk factors for shoulder pain after stroke and proposed effective preventive measures. Based on the retrospective analysis, diabetes, limited shoulder joint activity, Brunnstrom grade I-III period, Ashworth 3-4 grade, motor arm score of NIHSS 3-4 points, and sensory disturbance were identified as independent risk factors for shoulder pain after stroke.
PAKISTAN JOURNAL OF MEDICAL SCIENCES
(2022)
Article
Environmental Sciences
Min Gyun Kim, Seung Ah Lee, Eo Jin Park, Min Kyu Choi, Ji Min Kim, Min Kyun Sohn, Sung Ju Jee, Yeong Wook Kim, Jung Eun Son, Seo Jun Lee, Keum Sun Hwang, Seung Don Yoo
Summary: This study compared the effects of two different shoulder orthoses on shoulder subluxation distance, pain, and upper extremity function in patients with hemiplegia. The results showed that the elastic dynamic sling had better outcomes in shoulder subluxation distance, while both orthoses had similar improvements in upper extremity movements and independence in daily living.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Article
Rehabilitation
Heloise Borges, Sandra de Freitas, Richard Liebano, Sandra Alouche
Summary: Pain perception impairs aiming movements performed with the ipsilesional upper limb in individuals with unilateral chronic stroke, resulting in slower and less smooth trajectories, increased directional error, and decreased accuracy.
PHYSIOTHERAPY THEORY AND PRACTICE
(2022)
Review
Clinical Neurology
Yajing Hou, Yong Wang, Xiaojing Sun, Yake Lou, Ying Yu, Tong Zhang
Summary: The study found that suprascapular nerve block is an effective treatment for hemiplegic shoulder pain patients. There was no significant difference in pain relief between the SSNB group and the control group. However, the Fugl-Meyer assessment score in the SSNB group was lower than in the control group in terms of motor function.
FRONTIERS IN NEUROLOGY
(2021)
Article
Clinical Neurology
Jingjing Zhang, Huiwen Mao, Fang Gao, Yan Li, Yang Yang
Summary: This study aimed to compare the efficacy and safety of ultrasound-guided local injection (UGLI) of betamethasone and extracorporeal shock wave therapy (ESWT) in patients with hemiplegic shoulder pain. The results showed that betamethasone injection had a better effect on relieving hemiplegic shoulder pain and induced a higher level of cytokine expression.
FRONTIERS IN NEUROLOGY
(2023)
Review
Sport Sciences
Alec McKenzie, Sophie-Alexandra Larequi, Andrea Hams, Jonathon Headrick, Rod Whiteley, Steven Duhig
Summary: The study aimed to review the literature and synthesize evidence on shoulder pain and injury risk factors in competitive swimmers. The findings showed no strong evidence supporting or refuting the association between 80 assessed variables and shoulder injury or pain. Moderate evidence was found for factors related to the swimmers' competitive level and shoulder muscle recruitment profiles. Conversely, factors such as range of motion, training frequency, specialty stroke, and demographic characteristics had moderate evidence opposing an association. The highest quality study suggested that high acute-to-chronic workload ratio and reduced posterior shoulder strength endurance are associated with injury.
SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS
(2023)
Article
Chemistry, Multidisciplinary
Maria Longhi, Danilo Donati, Monica Mantovani, Silvia Casarotti, Lucia Calbucci, Giulia Puglisi, Daniela Platano, Maria Grazia Benedetti
Summary: This study used magnetic inertial measurement units (MIMUs) to analyze scapulothoracic movements in stroke patients. The scapulohumeral rhythm (SHR) was found to be impaired in the paretic shoulders, with decreased scapular tilt during maximum arm flexion and arm abduction. The study also found a correlation between the Fugl-Meyer Assessment (FMA) scores and scapular anterior-posterior tilt during shoulder abduction at 60 and 90 degrees.
APPLIED SCIENCES-BASEL
(2023)
Article
Rehabilitation
Bertrand Glize, Amandine Cook, Antoine Benard, Sharmila Sagnier, Stephane Olindo, Mathilde Poli, Sabrina Debruxelles, Pauline Renou, Francois Rouanet, Clement Bader, Patrick Dehail, Igor Sibon
Summary: This study aimed to evaluate if a specific positioning of the shoulder could reduce the intensity of post-stroke shoulder pain. The results showed that there was no significant difference in shoulder pain intensity between the group with specific positioning and the group with usual practice.
CLINICAL REHABILITATION
(2022)
Review
Rehabilitation
Peilin Deng, Zhengen Zhao, Shaojun Zhang, Ting Xiao, Yi Li
Summary: The meta-analysis confirmed the effectiveness of Kinesio Taping in the management of hemiplegic shoulder pain, showing significant improvements in reducing shoulder subluxation, improving motor function of the upper limb, and daily living activities. It also indicates a potential role in pain reduction for patients with chronic stroke.
CLINICAL REHABILITATION
(2021)
Article
Integrative & Complementary Medicine
Evgeni Rozenfeld, Eleanora Sapoznikov Sebakhutu, Yuval Krieger, Leonid Kalichman
ACUPUNCTURE IN MEDICINE
(2020)
Review
Environmental Sciences
Rivi Friedenberg, Leonid Kalichman, David Ezra, Oren Wacht, Deborah Alperovitch-Najenson
Summary: This article reviews the current knowledge on work-related musculoskeletal disorders (WRMDs) and non-fatal injuries in emergency medical technicians and paramedics (EMTs-Ps). The study found that back pain and injuries were common, with risk factors including lifting, working in awkward postures, loading patients, and performing cardiopulmonary resuscitation procedures. Lack of job satisfaction and social support were associated with these issues.
ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH
(2022)
Article
Multidisciplinary Sciences
Ifat Klein, Leonid Kalichman, Noy Chen, Sergio Susmallian
Summary: Physical activity after breast cancer surgery can improve function and range of motion, increase self-efficacy, and help return to previous job status. The higher the intensity and frequency of physical activity, the better the results. Vigorous activity may cause axillary web syndrome but decreases the incidence of chronic pain.
SCIENTIFIC REPORTS
(2021)
Article
Rehabilitation
Deborah Alperovitch-Najenson, Chava Weiner, Leonid Kalichman
Summary: The study assessed the reliability and validity of the Hebrew version of BADIX, finding high internal consistency, test-retest reliability, and concurrent validity with RMQ and MODQ.
JOURNAL OF BODYWORK AND MOVEMENT THERAPIES
(2021)
Article
Oncology
Ifat Klein, Leonid Kalichman, Noy Chen, Sergio Susmallian
Summary: The study identified that upper arm morbidity following breast cancer surgery may affect up to 70% of patients, leading to issues such as chronic pain, reduced function, and decreased range of motion. Early postoperative physical therapy can reduce the risk of prolonged pain, while regular physical activity may help reduce the occurrence of long-term functional disabilities.
Article
Oncology
Ifat Klein, Leonid Kalichman, Noy Chen, Sergio Susmallian
Summary: Early physical therapy and patient education can reduce postoperative pain levels and potentially improve functional disabilities in breast cancer patients, without causing complications. Larger studies are needed for definitive results.
Article
Anatomy & Morphology
Vladimir Stoychev, Azaria Simonovich, Deborah Alperovitch-Najenson, Michal Tzelnik, Leonid Kalichman
Summary: The study focused on developing a grading scale for assessing degenerative changes in uncovertebral joints on CT scans and evaluating the reliability of this scale. The results showed that the developed grading scale had good intra- and inter-rater reliability, with 77.6% of evaluated UVJs exhibiting degenerative changes.
Review
Clinical Neurology
Anat Kaplun, Deborah Alperovitch-Najenson, Leonid Kalichman
Summary: The review suggests that guided imagery (GI) is a safe, non-invasive technique that can help manage pain, depression, stress, fatigue, anxiety, reduce medication use, improve general well-being, wellness, and quality of life in patients with musculoskeletal disorders. Further investigations of GI mechanisms are recommended.
CURRENT PAIN AND HEADACHE REPORTS
(2021)
Article
Rehabilitation
Deborah Alperovitch-Najenson, Shani Milyoner, Dafna Horesh-Sztulman, Omer Weissberger, David Ezra, Leonid Kalichman
Summary: This study determines the importance of bed height adjustment for maintaining a neutral lumbar position according to anthropometric dimensions. Specific anatomical landmarks are recommended for bed height adjustment. Further studies are required to validate the results.
JOURNAL OF BODYWORK AND MOVEMENT THERAPIES
(2022)
Review
Rehabilitation
Kobi Weiss, Leonid Kalichman
Summary: The study found that deep fascial tissues are richly innervated and produce long-lasting pain responses to various stimuli, potentially serving as a source of pain in different pathologies and pain syndromes.
JOURNAL OF BODYWORK AND MOVEMENT THERAPIES
(2021)
Article
Environmental Sciences
Chen Lavi, Michal Elboim-Gabyzon, Yuval Naveh, Leonid Kalichman
Summary: The study investigated the effect of long-duration neuromuscular electric stimulation (NMES) on shoulder subluxation and upper-extremity function during the acute post-stroke stage. The results showed that shoulder subluxation was significantly reduced, while upper-extremity function was significantly improved in the experimental group compared to the control group. These findings suggest that supplementing NMES to standard rehabilitation and external shoulder support is beneficial in reducing shoulder subluxation and improving upper-extremity function.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Article
Environmental Sciences
Nehama Milson, Iuly Treger, Michal Vered, Asaf Acker, Leonid Kalichman
Summary: This study evaluated the efficacy of hospital-based rehabilitation for flail chest patients who had undergone open reduction and internal fixation surgery. Significant reduction in pain and improvement in functional independence and balance were observed. All patients were able to independently perform activities of daily living upon discharge.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Article
Nursing
Anat Kaplun, Svetlana Trosman, Tatiana Reitblat, Alan Friedman, Leonid Kalichman
Summary: This study aimed to evaluate the impact of guided imagery (GI) on chronic back pain symptoms. The results showed that brief guided imagery intervention can help alleviate chronic back pain, reduce anxiety, and improve daily activity in patients.
PAIN MANAGEMENT NURSING
(2023)
Article
Anatomy & Morphology
Azaria Simonovich, Yulia Naveh, Leonid Kalichman
Summary: The study found that osteophytes in the thoracic spine are common in older adults, with the number and size increasing with age in both sexes. Osteophytes are significantly larger on the right side than the left, possibly due to proximity to the aorta.
Review
Rehabilitation
Ifat Klein, Dorit Tidhar, Leonid Kalichman
JOURNAL OF BODYWORK AND MOVEMENT THERAPIES
(2020)