MRI Findings in the Painful Poststroke Shoulder

Shah R, Haghpanah S, Elovic E, Flanagan S, Behnegar A, Nguyen V, Page S, Fang Z, Chae J

This study explored the structural abnormalities identified in the shoulder joint in patients that have suffered a stroke.

MRI imaging of the painful post-stoke shoulder was carried out in 89 patients. In 35% a tear was evident in at least one of the rotator cuff muscles, biceps or deltoid. 53% showed a tendinopathy of the rotator cuff, biceps or deltoid. Prevalence of rotator cuff tears increased with age.

Results showed that stroke causes not only neurological damage but has a significant secondary affect on the muscles and soft tissue around the shoulder joint. This has important implications for rehabilitation.

Stroke, 2008, 39, 1808

Link to Abstract

Therapeutic Interventions for the Shoulder

Explore evidence-based interventions for shoulder pain including the Shoulder Symptom Modification Procedure and prescription considerations. Covers clinical approaches to management of specific conditions including instability, rotator cuff and subacromial pain.