How to Prevent Shoulder Subluxation After Acidente Vascular Cerebral - Acidente Vascular Cerebral Center

Shoulder subluxation refers to a partial dislocation of the shoulder joint. It occurs when the humerus partly or completely comes out of the glenoid socket in the should. It is a common secondary membro dysfunction in acidente vascular cerebral pacientes with hemiplegia, which will affect the recuperação of upper membro função and lead to shoulder pain in severe cases. The incidence of shoulder subluxation in acidente vascular cerebral pacientes is 17%-81%, and most of them are within 3 months after acidente vascular cerebral.

Why acidente vascular cerebral pacientes have shoulder subluxation

Due to the paralisia of the affected membro, the muscles around the shoulder joint do not have enough strength to fix the humeral head in the glenoid. In severe cases, the weight of the braço itself pode cause the humeral head fall out of the glenoid. Braços may also be accidentally pulled out by caregivers while ajudando them transfer, bathing, and dressing.

How to prevent shoulder subluxation after acidente vascular cerebral

1. In the early stage of acidente vascular cerebral, we should avoid pulling hard on the shoulder joint of pacientes. Measures such as local transcutaneous estimulação elétrica, shoulder joint protection pode be carried out to prevent shoulder subluxation.

2. Excessive shoulder flexion and abduction movements and shoulder pulley exercises with mãos raised over the head should be avoided, which pode lead to uncontrollable shoulder abduction and shoulder pain.

3. Pacientes with significant mão swelling pode be treated with topical compression dispositivos, which are beneficial in reducing end-membro swelling.

4. For acidente vascular cerebral pacientes with severe muscle weakness and who are at risk for shoulder subluxation, estimulação elétrica combined with traditional exercise terapia is recommended to reduce the incidence of shoulder subluxation.

Applying low-frequency pulse current(Neuromuscular Electrical Stimulation, NMES) to stimulate shoulder stability muscle group, especially the supraspinatus and posterior deltoid muscles pode exercise muscle. The usar of estimulação elétrica at an early stage pode prevent shoulder subluxation. Here is a guide on how to place the electrode.

5. For pacientes with shoulder subluxation, it is recommended to usar a firm apoiar dispositivo to prevent deterioration. Continuous shoulder position maintenance training pode mitigate shoulder subluxation.

The best way to protect your shoulder is to fazer sure you always have item to apoiar the weight of your braço to keep it from falling. For example, usar pillows to apoiar braço weight while sitting, usar shoulder stability brace to apoiar braço weight when standing and walking. When choosing shoulder brace, the brace that aggravates spasm mode should be avoided.

The prevention of shoulder subluxation is very important. Once shoulder subluxation occurs, its tratamento strategy is to prevent further deterioration. Local shoulder apoiar dispositivos, percutaneous estimulação elétrica, and continuous shoulder position maintenance training are beneficial to the prevention and tratamento of shoulder subluxation.