scholarly journals Association between ultrasound assessment of glenohumeral subluxation and shoulder pain, muscle strength, active range of movement and upper limb function in people with stroke

2019 ◽  
Vol 22 (2) ◽  
pp. 79-85
Author(s):  
Praveen Kumar ◽  
Michael Bradley ◽  
Selena Gray ◽  
Annette Swinkels
Keyword(s):  
Muscle Strength ◽  
Shoulder Pain ◽  
Upper Limb ◽  
Range Of Movement ◽  
Limb Function ◽  
Upper Limb Function ◽  
Ultrasound Assessment

scholarly journals Shoulder pain in adolescent athletes: prevalence, associated factors and its influence on upper limb function

2017 ◽  
Vol 21 (2) ◽  
pp. 107-113 ◽  
Author(s):  
Valéria M.A. de Oliveira ◽  
Ana C.R. Pitangui ◽  
Mayra R.A. Gomes ◽  
Hítalo A. da Silva ◽  
Muana H.P. dos Passos ◽  
...  
Keyword(s):  
Shoulder Pain ◽  
Upper Limb ◽  
Associated Factors ◽  
Adolescent Athletes ◽  
Limb Function ◽  
Upper Limb Function

scholarly journals Quantifying upper limb motor impairment in people with Parkinson’s disease: a physiological profiling approach

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e10735
Author(s):  
Lewis A. Ingram ◽  
Vincent K. Carroll ◽  
Annie A. Butler ◽  
Matthew A. Brodie ◽  
Simon C. Gandevia ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Muscle Strength ◽  
Upper Limb ◽  
Bimanual Coordination ◽  
Handgrip Strength ◽  
Position Sense ◽  
Healthy Controls ◽  
Limb Function ◽  
Upper Limb Function

Background Upper limb motor impairments, such as slowness of movement and difficulties executing sequential tasks, are common in people with Parkinson’s disease (PD). Objective To evaluate the validity of the upper limb Physiological Profile Assessment (PPA) as a standard clinical assessment battery in people with PD, by determining whether the tests, which encompass muscle strength, dexterity, arm stability, position sense, skin sensation and bimanual coordination can (a) distinguish people with PD from healthy controls, (b) detect differences in upper limb test domains between “off” and “on” anti-Parkinson medication states and (c) correlate with a validated measure of upper limb function. Methods Thirty-four participants with PD and 68 healthy controls completed the upper limb PPA tests within a single session. Results People with PD exhibited impaired performance across most test domains. Based on validity, reliability and feasibility, six tests (handgrip strength, finger-press reaction time, 9-hole peg test, bimanual pole test, arm stability, and shirt buttoning) were identified as key tests for the assessment of upper limb function in people with PD. Conclusions The upper limb PPA provides a valid, quick and simple means of quantifying specific upper limb impairments in people with PD. These findings indicate clinical assessments should prioritise tests of muscle strength, unilateral movement and dexterity, bimanual coordination, arm stability and functional tasks in people with PD as these domains are the most commonly and significantly impaired.

scholarly journals Upper limb function and functional independence in patients with shoulder pain after stroke

2017 ◽  
Vol 75 (2) ◽  
pp. 103-106 ◽  
Author(s):  
Renato Nickel ◽  
Marcos Lange ◽  
Diane Priscila Stoffel ◽  
Elaine Janeczko Navarro ◽  
Viviane F Zetola
Keyword(s):  
Shoulder Pain ◽  
Upper Limb ◽  
Stroke Patient ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Stroke Patients ◽  
Pain Group ◽  
Limb Function ◽  
Upper Limb Function ◽  
The Mean

ABSTRACT Objective To examine the frequency of shoulder pain following stroke. Methods Stroke patient function was evaluated using the Functional Independence Measure (FIM) and Scale for Upper Limb Function in Stroke (SULFS). Function scores were examined and compared between the shoulder pain group (SPG) and the no shoulder pain group (No-SPG). Results A total of 58 patients, 22 women (37.9%), were included in this study. The mean patient age was 49.2±10.8 years and study evaluations were done 3.52±2.26 months after stroke. A total of 16 patients (27.6%) were in the SPG and 42 patients (72.4%) were in the No-SPG. The SPG scored significantly lower on the FIM (SPG: 91.06±14.65 vs. No-SPG 114.62 ± 2.27; p < 0.01) and SULFS (SPG median: 2 [range: 1-4], No-SPG median: 5 [range: 1-5]; p < 0.01) than the No-SPG. Conclusion Shoulder pain commonly occurs after stroke and is related to the affected upper limb function and functional independence in stroke patients.

scholarly journals Stroke - shoulder pain and upper limb function 

2022 ◽  
Vol 7 (1) ◽  
pp. 1-4
Author(s):  
Carvalho Sá P ◽  
Ferro I ◽  
Pires C ◽  
Pascoal A ◽  
Lourenço A ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Shoulder Pain ◽  
Motor Function ◽  
Upper Limb ◽  
Small Sample ◽  
Local Injection ◽  
Limb Function ◽  
Mean Values ◽  
Upper Limb Function ◽  
Significant Difference

Introduction: Stroke causes disability and pain, especially shoulder pain. Often, shoulder pain, has a not completely known mechanism and evolution.1,2 Objectives: Assess shoulder pain and its impact in upper limb function, in patients who had suffered a stroke within 6 months. Methods: Observational study. Included patients at discharge from an inpatient rehabilitation centre, from November 2019 until February 2020. Assessment was done using validated Portuguese versions of the Brief Pain Inventory (BPI) and Fugl Meyer Assessment Scale (FMAS). Results: Of 32 patients screened, 26 fulfilled the inclusion criteria, 7 were females (26,9 %), with mean age of 60,7±10 years. Mean values of BPI Severity and Interference were 3,2±1,6 and 2,4±1,8, respectively. The mean values of the FMAS Motor Function and Passive Articular Movement were 38,8±23,2 and 20,3±2,3, respectively. Analysing the association between both subscales of BPI and both Subscales of FMAS negative correlations were found to be statistically significant with a confidence interval of 95% but there was no correlation between BPI Severity and FMAS motor function. Six patients (23%) received a local injection for shoulder pain. Analysing both groups, BPI Severity and both subscales of FMAS showed a statistically significant difference (p values of 0,0083, 0,0031 and 0,0056, respectively) for a Wilcoxon/Kruskal-Wallis test with a confidence interval of 95%. Discussion/Conclusions: Patients with voluntary upper limb movements after a stroke tend to have less shoulder pain. Local injection was an effective intervention for shoulder pain. The greatest limitation of this study is the small sample size.

scholarly journals The Dynamic Thumb-in-Palm Pattern in Children with Spastic Cerebral Palsy and Its Effects on Upper Limb Function

Children ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 17
Author(s):  
Ja Young Choi ◽  
Dong-Wook Rha ◽  
Seon Ah Kim ◽  
Eun Sook Park
Keyword(s):  
Cerebral Palsy ◽  
Upper Limb ◽  
Multivariable Analysis ◽  
Spastic Cerebral Palsy ◽  
Type I ◽  
Upper Arm ◽  
Limb Function ◽  
Upper Limb Function ◽  
Limb Deformities ◽  
Arm Function

The thumb-in-palm (TIP) pattern is one of the most common upper limb deformities in cerebral palsy (CP). This study was designed to investigate the effect of the dynamic TIP pattern on upper limb function in children with spastic CP. This prospective observational study included a total of 106 children with CP with dynamic TIP. The House TIP classification while grasping small or large objects, Melbourne Assessment of Unilateral Upper Limb Function (MUUL), Shriners Hospital Upper Extremity Evaluation (SHUEE), Zancolli classification for wrist–finger flexor deformity, and degree of swan neck deformity were assessed. Type I was the most common and highest functioning House TIP classification type. However, there were no significant differences in upper arm function between types II, III, and IV. The three components of the SHUEE showed stronger association with MUUL than House TIP and Zancolli classifications. After multivariable analysis, functional use of the wrist–finger and the thumb played a more significant role than the dynamic alignment of the thumb. In conclusion, the House TIP classification is useful to describe the TIP pattern. The SHUEE thumb assessment is a useful tool for reflecting upper arm function. The upper arm function was related more with the associated wrist flexor deformity than dynamic TIP.

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