Evaluation of the structures of shoulder joint at patients with hemiparesis after the apoplexy during rehabilitation

Andrzej Kwołek, Teresa Pop, Jacek Gwizdak, Krzysztof Kołodziej, Dorota Korab, Grzegorz Przysada

Andrzej Kwołek, Teresa Pop, Jacek Gwizdak, Krzysztof Kołodziej, Dorota Korab, Grzegorz Przysada – Evaluation of the structures of shoulder joint at patients with hemiparesis after the apoplexy during rehabilitation. Fizjoterapia Polska 2002; 2(4); 273-279

Abstract
Background. One of often met complications in rehabilitation of patients after the apoplexy are functional disturbances of the shoulder joint on the side of paresis. Connected with it painfulness and limitation of mobility makes difficult re-education of the extremity’s function. The aim of this work is evaluation of the structures of shoulder joint in the paretic extremity and comparing it with the healthy joint, as well as determination of influence of rehabilitation procedure on improvement of changes of the examined structures. Material and methods. In a group of 40 patients ultrasonographic examination was used to evaluate the shoulder joint. All patients, who in a period since December 2000 to March 2001 were hospitalised at the Rehabilitation Department of the Provincial Hospital No. 2 in Rzeszów, were directed to this examination. This examination was done twice: on the first and last day of the patient’s stay at the Rehabilitation Department. Results and conclusions. Observations during three-four weeks’ stay showed regression of pathological changes in the shoulder joint.

Key words:
shoulder, rehabilitation, ultrasonographic

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