The source of shoulder pain in hemiplegia.
Shoulder pain is a common problem in hemiplegia. This preliminary study attempted to identify pain-producing structures by evaluating the results of injecting 1% lidocaine into several sites in the shoulder area. Sixty-seven patients with shoulder problems were identified, examined, and characterized. The amount of pain was related most to loss of motion; it was unrelated to subluxation, spasticity, strength, or sensation. Of 28 patients who received a subacromial injection, approximately one-half obtained moderate or marked relief of pain and improved range of motion, suggesting that the subacromial area of the shoulder is a location of pain-producing structure in a significant number of cases.
Joynt
R L
RL
Wayne State University, Rehabilitation Institute of Michigan, Detroit.
D000367:Age Factors; D000368:Aged; D003627:Data Interpretation, Statistical; D005260:Female; D006429:Hemiplegia / Q000503:physiopathology*; D006801:Humans; D008012:Lidocaine / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000188:drug therapy / Q000503:physiopathology*; D010147:Pain Measurement; D016059:Range of Motion, Articular; D012785:Shoulder Joint / Q000503:physiopathology
D008012:Lidocaine