How to Prevent Shoulder Subluxation After Accident vasculaire cérébral

Shoulder subluxation refers to a partial dislocation de le shoulder joint. It occurs when le humerus partly or completely comes out de le glenoid socket in le should. It est a common secondary limb dysfunction in accident vasculaire cérébral patients with hémiplégie, which will affect le récupération de upper limb function and lead to shoulder pain in severe cases. Le incidence de shoulder subluxation in accident vasculaire cérébral patients est 17%-81%, and most de them sont within 3 months after accident vasculaire cérébral.

Why accident vasculaire cérébral patients have shoulder subluxation

Due to le paralysis de le affected limb, le muscles around le shoulder joint do not have enough strength to fix le humeral head in le glenoid. In severe cases, le weight de le arm itself can cause le humeral head fall out de le glenoid. Arms may also be accidentally pulled out by caregivers while helping them transfer, bathing, and dressing.

How to prevent shoulder subluxation after accident vasculaire cérébral

1. In le early stage de accident vasculaire cérébral, we should avoid pulling hard on le shoulder joint de patients. Measures such as local transcutaneous électrique stimulation, shoulder joint protection can be carried out to prevent shoulder subluxation.

2. Excessive shoulder flexion and abduction movements and shoulder pulley exercises with hands raised over le head should be avoided, which can lead to uncontrollable shoulder abduction and shoulder pain.

3. Patients with significant hand swelling can be treated with topical compression appareils, which sont beneficial in reducing end-limb swelling.

4. For accident vasculaire cérébral patients with severe muscle weakness and who sont at risk for shoulder subluxation, électrique stimulation combined with traditional exercise thérapie est recommended to reduce le incidence de shoulder subluxation.

Applying low-frequency pulse current(Neuromuscular Électrique Stimulation, NMES) to stimulate shoulder stability muscle group, especially le supraspinatus and posterior deltoid muscles can exercise muscle. Le use de électrique stimulation at an early stage can prevent shoulder subluxation. Here est a guide on how to place le electrode.

5. For patients with shoulder subluxation, it est recommended to use a firm soutien appareil to prevent deterioration. Continuous shoulder position maintenance training can mitigate shoulder subluxation.

Le best way to protect your shoulder est to make sure you always have item to soutien le weight de your arm to keep it from falling. For example, use pillows to soutien arm weight while sitting, use shoulder stability brace to soutien arm weight when standing and marche. When choosing shoulder brace, le brace that aggravates spasm mode should be avoided.

Le prevention de shoulder subluxation est very important. Once shoulder subluxation occurs, its treatment strategy est to prevent further deterioration. Local shoulder soutien appareils, percutaneous électrique stimulation, and continuous shoulder position maintenance training sont beneficial to le prevention and treatment de shoulder subluxation.