How to Prevent Shoulder Subluxation After ictus - ictus 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 arto dysfunction in ictus patients with emiplegia, which will affect the recupero of upper arto function and lead to shoulder pain in severe cases. The incidence of shoulder subluxation in ictus patients is 17%-81%, and most of them are within 3 months after ictus.

Why ictus patients have shoulder subluxation

Due to the paralysis of the affected arto, the muscles around the shoulder joint do not have enough forza to fix the humeral head in the glenoid. In severe cases, the weight of the braccio itself can cause the humeral head fall out of the glenoid. Arms may also be accidentally pulled out by caregivers while helping them transfer, bathing, and dressing.

How to prevent shoulder subluxation after ictus

1. In the early stage of ictus, we should avoid pulling hard on the shoulder joint of patients. Measures such as local transcutaneous electrical stimulation, shoulder joint protection can be carried out to prevent shoulder subluxation.

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

3. Patients with significant mano swelling can be treated with topical compression devices, which are beneficial in reducing end-arto swelling.

4. For ictus patients with severe muscle weakness and who are at risk for shoulder subluxation, electrical stimulation combined with traditional esercizio terapia is recommended to ridurre the incidence of shoulder subluxation.

Applying low-frequency pulse current(neuromuscolare Electrical Stimulation, NMES) to stimulate shoulder stability muscle group, especially the supraspinatus and posterior deltoid muscles can esercizio muscle. The uso of electrical stimulation at an early stage can prevent shoulder subluxation. Here is a guide on how to place the electrode.

5. For patients with shoulder subluxation, it is recommended to uso a firm supporto dispositivo to prevent deterioration. Continuous shoulder position maintenance allenamento can mitigate shoulder subluxation.

The best way to protect your shoulder is to make sure you always have item to supporto the weight of your braccio to keep it from falling. For example, uso pillows to supporto braccio weight while posizione seduta, uso shoulder stability brace to supporto braccio weight when postura eretta and cammino. 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 trattamento strategy is to prevent further deterioration. Local shoulder supporto devices, percutaneous electrical stimulation, and continuous shoulder position maintenance allenamento are beneficial to the prevention and trattamento of shoulder subluxation.