Pathogenesis of post-stroke periarthropathy of the shoulder joint from the perspective of somatic dysfunctions
https://doi.org/10.32885/2220-0975-2020-4-29-37
Abstract
Post-stroke periarthropathy of the shoulder joint (PPSJ) is one of the key assessment indicators of the poststroke patients management. Shoulder pain is a common complication of stroke, especially in patients with hemiplegia or severe hemiparesis. According to various authors, 16 % to 80 % of post-stroke patients have PPSJ. In 32 % of patients with post-stroke moderately severely impairments, the problem of shoulder pain persists for many years after the stroke. Due to the presence of pain in the shoulder joint, the range of motion in the affected joint is limited, so the patient does not try to correct this situation. As a result of it the joint contracture is formed and the quality of life of the patients after a stroke worsens. Thus, the problem of shoulder pain in patients after stroke has a high medical and social significance. For adequate rehabilitation of patients with PPSJ, it is necessary to understand well the pathogenesis of the problem in order to select a course of treatment for these patients. The purpose of this work is to systematize the available literature data and to present the etiopathogenesis of PPSJ from the perspective of somatic dysfunctions formation. The analysis of the available in the literature data about the PPSJ formation mechanisms and the main manifestations of this pathology allowed us to approach the consideration of etiopathogenesis from the perspective of dividing of all developing disorders into biomechanical, hydrodynamic/rhythmogenic and neurodynamic components being characteristic for somatic dysfunctions. The representation of the PPSJ etiopathogenesis from the perspective of the somatic dysfunctions formation provides a direction for further search for evidence for substantiating of the osteopathic correction effectiveness in patients with this pathology type.
About the Authors
E. S. Tregubova
Mechnikov North-West State Medical University; St. Petersburg State University
Russian Federation
Russian Federation
Elena S. Tregubova - Dr. Sci. (Med.), professor at the Osteopathy Department eLibrary SPIN: 2508-8024, Scopus Author ID: 7801407959, Researcher ID I-3884-2015.
Bld. 41 ul. Kirochnaya, Saint-Petersburg, 191015; bld. 7/9 Universitetskaya nab., Saint-Petersburg, 199034
N. S. Kozlova
Mechnikov North-West State Medical University; St. Petersburg State University; Medical Clinic LLC Mokhov Institute of Osteopathy
Russian Federation
Russian Federation
Natalia S. Kozlova - assistant at Osteopathy Department, Saint-Petersburg SU, assistant at the Institute of Osteopathy, Medical Clinic LLC Mokhov Institute of Osteopathy, osteopathic physician, neurologist eLibrary SPIN: 1948-4276.
Bld. 41 ul. Kirochnaya, Saint-Petersburg, 191015; bld. 7/9 Universitetskaya nab., Saint-Petersburg, 199034; bld. 1A ul. Degtyarnaya, Saint-Petersburg, 191024
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For citations:
Tregubova E.S., Kozlova N.S. Pathogenesis of post-stroke periarthropathy of the shoulder joint from the perspective of somatic dysfunctions. Russian Osteopathic Journal. 2020;(4):29-37. (In Russ.) https://doi.org/10.32885/2220-0975-2020-4-29-37
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