Stroke with shoulder subluxation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Meet the diagnostic criteria for stroke in the ''Chinese Guidelines for the Diagnosis and Treatment of Acute Ischemic Stroke 2018'' adopted by the Chinese Medical Association, and confirm that the vital signs are stable by cranial CT or MRI examination; 2. The diagnostic criteria for shoulder subluxation are in line with the diagnosis of shoulder subluxation in the ''Chinese Rehabilitation Medicine Diagnosis and Treatment Code'', that is clinical palpation shows that the shoulder peak is sunken or touched, the lower angle of the shoulder blade is reduced, the winged shoulder is formed, the shoulder discomfort or pain is obvious when the upper limb droops, the discomfort or pain is reduced when the shoulder is passively lifted, and confirmed by X-ray or musculoskeletal ultrasound; 3. First onset, the course of the disease < 12 months; 4. Unilateral onset, the upper limb Brunnst-rom stage of the affected side is stage I-II; 5. Aged 20 to 80 years; 6. The patient is conscious, without cognitive dysfunction, and cooperates with examinatian and treatment; 7. All patients sign informed consent.
Exclusion criteria
Exclusion criteria: 1. Poor patient compliance; 2. Serious insufficiency of heart, lung, kidney and other important organs; 3. Previous history of shoulder dysfunction, such as old shoulder dislocation, fracture, etc.; 4. Subluxation of upper extremity shoulder joint caused by other disease causes.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| visual analogue scale;modified Ashworth scale;Fugl-Meyer assessment-upper extremities;surface electromyography (averaged electromyography);ultrasound (acromium-humerus tuberculum spacing);passive reproduction of passive motion;threshold to detect passive motion;modified Barthel index; | — |
Countries
China
Contacts
The Affiliated Xuzhou Rehabilitation Hospital of Xuzhou Medical University