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Orthopedic upper limb appliances in post-stroke patients used in prevention of shoulder pain syndrome

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Gieremek K., Cieśla W., Kubacki J., Rojczyk-Chmarek J.

Medical Rehabilitation

2008

vol. 12(1)

25-31

Shoulder pain constitutes one of the more serious problems that occur after cerebral stroke. Such ailments concern evan 65% of patients. The so-called Painful Shoulder Syndrome of Hemiplegic (p.s.s.h) is often a result of negligence and delayed initiation of physiotherapy. Application of appropriate orthopaedic supply is an important element of the therapy. Possibilities of orthopedic appliances of paretic upper limb in post-stroke patients are commonly limited to forearm and arm orthesis or sling. Such equipment is, however, not sufficient, especially for patient’s shoulder joint. Post-stroke processes within the shoulder area occur in 81% of patients resulting in physical therapy difficulties and causing pain and limb dysfunction. The article presents aetiopathogenesis of hemiplegic shoulder; special attention is directed to the most common therapy and nursing mistakes. The article describes market analysis with regard to availability of modern orthopedic equipment for both prevention and treatment of the syndrome of hemiplegic shoulder. Advantages and disadvantages of the following devices were discussed: traditional sling, Itman’s sling, abduction pillow and Aperent Activ apparatus. The new, original type of orthopaedic supply: Hemi-Flex apparatus was described in a wider range. Significant advantages of this type of supply were stressed out, while a conclusion was also drawn that this supply should be an element of standard treatment of patients with paresis or plegia following cerebral stroke.

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1 Medical Rehabilitation

1 2008

1 Cieśla W.

1 Gieremek K.

1 Kubacki J.

1 Rojczyk-Chmarek J.

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Orthopedic upper limb appliances in post-stroke patients used in prevention of shoulder pain syndrome