Abnormal upper extremity on the hemiplegic side
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ? A stroke patient who met the diagnostic criteria for cerebrovascular disease and was diagnosed by CT or MRI for the first time; ? Hemiplegia patient with unilateral limb involvement; ? No history of shoulder pain or shoulder surgery before stroke; ? After ultrasound screening For patients who can perform rehabilitation training for hemiplegic shoulder pain; ? Spasticity of one upper limb, no congenital myogenic disease; ? The patient can maintain the upper limb extension state, and the MAS level is 1-3; ? Rehabilitation patients who enter the stable period after stroke have stable vital signs, clear consciousness, and can cooperate with the entire inspection process.
Exclusion criteria
Exclusion criteria: ? Patients with unstable vital signs and severe cognitive impairment who cannot cooperate with rehabilitation training and evaluation; ? Patients with serious diseases such as the internal medicine system; ? Shoulder joint pain caused by shoulder diseases before stroke and motor dysfunction; ? have a history of shoulder surgery; ? shoulder weakness caused by other neuromuscular system diseases or the patients upper body weakness cannot maintain a sitting position for examination; ? patients who are not suitable for hemiplegic shoulder pain rehabilitation training after ultrasound screening; ? Dystonia, such as Parkinson's syndrome; ? Bilateral hemiplegia, such as increased muscle tension due to spinal cord injury; ? MAS grade 4, the patient The muscles are stiff and unable to stretch and bend.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| supraspinatus tendon thickness;biceps long head tendon effusion;Acromial-subdeltoid bursae effusion;acromion-greater tuberosity distance;shear wave velocity; | — |
Countries
China
Contacts
Shanghai Ruijin Rehabilitation Hospital