AAPM&R National Grand Rounds: How to Integrate MSK into other areas of Physiatry: Stroke Rehabilitation-AAPM&R National Grand Rounds: How to Integrate MSK into other areas of Physiatry: Stroke Rehabilitation

AAPM&R National Grand Rounds: How to Integrate MSK into other areas of Physiatry: Stroke Rehabilitation

Video Transcription

Video Summary

In this video, Dr. Richard Harvey discusses the management of hemiplegic shoulder pain in stroke patients. He highlights the complexity of the condition, which can be multifactorial and involves various sources of pain. Dr. Harvey emphasizes the importance of properly examining the shoulder joint and assessing the mechanics and range of motion. He explains that poor mechanics can lead to inflammation and pain, and managing the mechanics is crucial to preventing and treating shoulder pain. He also mentions the role of subluxation, noting that while it can contribute to pain, it is not the main cause. Dr. Harvey recommends various treatment approaches, including scapular mobilization, physical therapy, and neuro muscular electrical stimulation. He also discusses the potential use of injections and slings for pain management and support, and highlights the importance of managing spasticity. Finally, he mentions the role of ultrasound in identifying soft tissue changes and inflammation, and suggests exploring the use of anti-inflammatory medications and opioids as necessary for pain control. Dr. Harvey concludes by noting that early intervention is key in preventing the development of chronic shoulder pain.

Keywords

hemiplegic shoulder pain

stroke patients

shoulder joint examination

mechanics

treatment approaches

scapular mobilization

spasticity management

ultrasound

early intervention