AAPM&R National Grand Rounds: How to Integrate MSK into other areas of Physiatry: Stroke Rehabilitation (enduring)-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 topic of hemiplegic shoulder pain in stroke rehabilitation. He begins by explaining that hemiplegic shoulder pain is a multifactorial problem, often caused by a combination of factors such as inflammation, poor mechanics around the shoulder, and subluxation. He emphasizes the importance of properly examining and diagnosing the condition, including using imaging and diagnostic ultrasound to identify inflammation and soft tissue changes. Dr. Harvey discusses various treatment approaches, including steroid injections, botulinum toxin injections to reduce spasticity, and percutaneous electrical stimulation to desensitize neuropathic pain. He also mentions the importance of managing pain with medications like acetaminophen and opioids, as well as proper therapy to improve shoulder mechanics and range of motion. Dr. Harvey also touches on the use of slings, taping, and neuromuscular electrical stimulation in the treatment of hemiplegic shoulder pain. He suggests that early intervention and proper management of the condition can help prevent long-term complications and reduce pain, ultimately improving patient outcomes.

Keywords

hemiplegic shoulder pain

stroke rehabilitation

inflammation

shoulder mechanics

subluxation

diagnostic ultrasound

steroid injections

botulinum toxin injections

percutaneous electrical stimulation