Patients with Chronic hemiplega have shoulder stiffness and pain. To reduce the stiffness and to improve the range of motion we perform mobilization of shoulder and try to get the full range of motion. We can get the full range of motion of shoulder but they typically don’t have strength throughout the range. Higher degree of mobility without good stability leads to multidirectional instability of shoulder. This instability will further increase complications of shoulder pain which leads to shoulder hand syndrome.
Gajanan Bhalerao's SCHOOL OF NEURO REHAB & AQUATIC THERAPY
…….Speciality centre for Stroke, Brain and spinal cord injury Rehabilitation
But sir, if we don’t increase the range how will we improve the control then as the ROM will be less.
So in such case how should we progress with respect to shoulder.
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I guess we should stretch in order to increase the shoulder ROM…..
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i said dont just increase the full ROM only. the range and the strength or ability to cotrol that range in different range. so it will reduve the dyskinesia & impingment.
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Yes sir.. There’s no point in improving the range if the patient lacks the ability to use the range.. Cause the range will be eventually lost after a short time if the patient doesn’t use the range in his daily activities.. Thus we should improve the range and simultaneously strengthen the muscles..
Sir this can be done by repetitive activity and mild stretching at end rage?
Thankyou,
Rohan Sawant 🙂
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you should be able to repetitively stretch in weight bearing positions and during functional activity too. mid range is always safe for stretching.
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