The clinical utility of musculoskeletal ultrasonography in hemiplegic shoulder rehabilitation poststroke
ObjectiveThis study aimed to assess the utility of musculoskeletal ultrasound (MSUS) in the rehabilitation of stroke patients with hemiplegic shoulder pain.MethodsWe conducted a study involving 80 stroke patients with hemiplegia and concomitant shoulder pain on the affected side, admitted to our hos...
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Frontiers Media S.A.
2025-05-01
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| Series: | Frontiers in Rehabilitation Sciences |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fresc.2025.1576890/full |
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| author | Jun Liu Huijuan Pan Huijuan Pan Yong Bao Yong Bao Li Huang Li Huang Yunyun Hu |
| author_facet | Jun Liu Huijuan Pan Huijuan Pan Yong Bao Yong Bao Li Huang Li Huang Yunyun Hu |
| author_sort | Jun Liu |
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| description | ObjectiveThis study aimed to assess the utility of musculoskeletal ultrasound (MSUS) in the rehabilitation of stroke patients with hemiplegic shoulder pain.MethodsWe conducted a study involving 80 stroke patients with hemiplegia and concomitant shoulder pain on the affected side, admitted to our hospital between April 2020 and March 2021. MSUS was used to evaluate shoulder structures, including the long head of the biceps brachii tendon (BICT) and its sheath, rotator cuff, subacromial–subdeltoid (SA–SD) bursa, labrum, acromioclavicular ligament, acromiocoracoid ligament, and acromion–greater tuberosity (AGT) distance. We compared pre- and post-rehabilitation measurements of supraspinatus tendon (SST) thickness, BICT sheath effusion thickness, SA–SD bursa effusion thickness, AGT distance, and visual analog scale (VAS) scores. Statistical significance was set at P < 0.05.ResultsPost-rehabilitation, the SST thickness on the hemiplegic side showed a statistically significant reduction (P = 0.023). No significant difference was observed in the mean maximum rupture diameter (P = 0.796). Both BICT sheath effusion (P < 0.001) and SA–SD bursa effusion (P < 0.001) exhibited significant decreases. The AGT distance on the hemiplegic side also demonstrated a statistically significant change (P < 0.001). Additionally, the VAS score significantly improved post-rehabilitation (P < 0.001).ConclusionMSUS is a feasible and reproducible tool for monitoring rehabilitation progress in stroke patients with hemiplegic shoulder pain. |
| format | Article |
| id | doaj-art-bc932f3f92634cde8c857df2bc7f437f |
| institution | Kabale University |
| issn | 2673-6861 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Rehabilitation Sciences |
| spelling | doaj-art-bc932f3f92634cde8c857df2bc7f437f2025-08-20T03:49:45ZengFrontiers Media S.A.Frontiers in Rehabilitation Sciences2673-68612025-05-01610.3389/fresc.2025.15768901576890The clinical utility of musculoskeletal ultrasonography in hemiplegic shoulder rehabilitation poststrokeJun Liu0Huijuan Pan1Huijuan Pan2Yong Bao3Yong Bao4Li Huang5Li Huang6Yunyun Hu7Department of Ultrasound, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Rehabilitation Medicine, Shanghai Ruijin Rehabilitation Hospital, Shanghai, ChinaDepartment of Ultrasound, Shanghai Ruijin Rehabilitation Hospital, Shanghai, ChinaDepartment of Rehabilitation Medicine, Shanghai Ruijin Rehabilitation Hospital, Shanghai, ChinaDepartment of Ultrasound, Shanghai Ruijin Rehabilitation Hospital, Shanghai, ChinaDepartment of Rehabilitation Medicine, Shanghai Ruijin Rehabilitation Hospital, Shanghai, ChinaDepartment of Ultrasound, Shanghai Ruijin Rehabilitation Hospital, Shanghai, ChinaDepartment of Ultrasound, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaObjectiveThis study aimed to assess the utility of musculoskeletal ultrasound (MSUS) in the rehabilitation of stroke patients with hemiplegic shoulder pain.MethodsWe conducted a study involving 80 stroke patients with hemiplegia and concomitant shoulder pain on the affected side, admitted to our hospital between April 2020 and March 2021. MSUS was used to evaluate shoulder structures, including the long head of the biceps brachii tendon (BICT) and its sheath, rotator cuff, subacromial–subdeltoid (SA–SD) bursa, labrum, acromioclavicular ligament, acromiocoracoid ligament, and acromion–greater tuberosity (AGT) distance. We compared pre- and post-rehabilitation measurements of supraspinatus tendon (SST) thickness, BICT sheath effusion thickness, SA–SD bursa effusion thickness, AGT distance, and visual analog scale (VAS) scores. Statistical significance was set at P < 0.05.ResultsPost-rehabilitation, the SST thickness on the hemiplegic side showed a statistically significant reduction (P = 0.023). No significant difference was observed in the mean maximum rupture diameter (P = 0.796). Both BICT sheath effusion (P < 0.001) and SA–SD bursa effusion (P < 0.001) exhibited significant decreases. The AGT distance on the hemiplegic side also demonstrated a statistically significant change (P < 0.001). Additionally, the VAS score significantly improved post-rehabilitation (P < 0.001).ConclusionMSUS is a feasible and reproducible tool for monitoring rehabilitation progress in stroke patients with hemiplegic shoulder pain.https://www.frontiersin.org/articles/10.3389/fresc.2025.1576890/fullMSUSshoulder painrehabilitationhemiplegiastroke |
| spellingShingle | Jun Liu Huijuan Pan Huijuan Pan Yong Bao Yong Bao Li Huang Li Huang Yunyun Hu The clinical utility of musculoskeletal ultrasonography in hemiplegic shoulder rehabilitation poststroke Frontiers in Rehabilitation Sciences MSUS shoulder pain rehabilitation hemiplegia stroke |
| title | The clinical utility of musculoskeletal ultrasonography in hemiplegic shoulder rehabilitation poststroke |
| title_full | The clinical utility of musculoskeletal ultrasonography in hemiplegic shoulder rehabilitation poststroke |
| title_fullStr | The clinical utility of musculoskeletal ultrasonography in hemiplegic shoulder rehabilitation poststroke |
| title_full_unstemmed | The clinical utility of musculoskeletal ultrasonography in hemiplegic shoulder rehabilitation poststroke |
| title_short | The clinical utility of musculoskeletal ultrasonography in hemiplegic shoulder rehabilitation poststroke |
| title_sort | clinical utility of musculoskeletal ultrasonography in hemiplegic shoulder rehabilitation poststroke |
| topic | MSUS shoulder pain rehabilitation hemiplegia stroke |
| url | https://www.frontiersin.org/articles/10.3389/fresc.2025.1576890/full |
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