How to ngăn ngừa Shoulder Subluxation After đột quỵ - đột quỵ 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 limb dysfunction in đột quỵ bệnh nhân with hemiplegia, which will affect the phục hồi of chi trên function and lead to shoulder đau in severe cases. The incidence of shoulder subluxation in đột quỵ bệnh nhân is 17%-81%, and most of them are within 3 months after đột quỵ.

Why đột quỵ bệnh nhân have shoulder subluxation

Due to the liệt of the affected limb, the các cơ around the shoulder joint do not have enough strength to fix the humeral head in the glenoid. In severe cases, the weight of the cánh tay itself can cause the humeral head fall out of the glenoid. các cánh tay may also be accidentally pulled out by caregivers while helping them transfer, bathing, and dressing.

How to ngăn ngừa shoulder subluxation after đột quỵ

1. In the early stage of đột quỵ, we should avoid pulling hard on the shoulder joint of bệnh nhân. Measures such as local transcutaneous kích thích điện, shoulder joint protection can be carried out to ngăn ngừa shoulder subluxation.

2. Excessive shoulder flexion and abduction movements and shoulder pulley exercises with các bàn tay raised over the head should be avoided, which can lead to uncontrollable shoulder abduction and shoulder đau.

3. bệnh nhân with significant bàn tay swelling can be treated with topical compression devices, which are beneficial in reducing end-limb swelling.

4. For đột quỵ bệnh nhân with severe cơ yếu and who are at risk for shoulder subluxation, kích thích điện combined with traditional exercise liệu pháp is recommended to giảm the incidence of shoulder subluxation.

Applying low-frequency pulse current(thần kinh cơ kích thích điện, NMES) to stimulate shoulder stability cơ group, especially the supraspinatus and posterior deltoid các cơ can exercise cơ. The use of kích thích điện at an early stage can ngăn ngừa shoulder subluxation. Here is a guide on how to place the electrode.

5. For bệnh nhân with shoulder subluxation, it is recommended to use a firm hỗ trợ thiết bị to ngăn ngừa deterioration. Continuous shoulder position maintenance training can mitigate shoulder subluxation.

The best way to protect your shoulder is to make sure you always have item to hỗ trợ the weight of your cánh tay to keep it from falling. For example, use pillows to hỗ trợ cánh tay weight while sitting, use shoulder stability brace to hỗ trợ cánh tay 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 điều trị strategy is to ngăn ngừa further deterioration. Local shoulder hỗ trợ devices, percutaneous kích thích điện, and continuous shoulder position maintenance training are beneficial to the prevention and điều trị of shoulder subluxation.