| Studies show that most patients who suffer | | | | Prolotherapy is a medical procedure imploring natural |
| hemiplegia after stroke have shoulder subluxation. With | | | | treatment wherein solutions are injected into the |
| incidences higher in severely-paralyzed patients, | | | | affected ligaments, tendons, and joints to stimulate an |
| shoulder subluxation is one of the most common | | | | inflammatory reaction in the body, which in turn, heals |
| secondary muscoloskeletal problems after stroke. | | | | the subluxation. |
| Shoulder subluxation, nevertheless, can be treated in | | | | 3. Electrotherapy |
| various ways. | | | | Functional electrical stimulation and cyclical electrical |
| Also referred to as instability, a shoulder subluxation | | | | stimulation of the shoulder muscles reduce subluxation |
| involves the partial dislocation of the shoulder joint | | | | but prevents it only if treatment is continuous. |
| wherein the ball of the upper arm bone slips partially | | | | 4. Exercises |
| out of the shoulder socket due to spastic muscles | | | | Exercises vary per patient as shoulder exercises are |
| pulling the humerus and shoulder blade into abnormal | | | | not for those with a history of shoulder dislocations |
| positions. | | | | prior to their post-stroke shoulder subluxation to avoid |
| Treatment involves the use of heat or ice packs, pain | | | | further dislocation. To relax muscles which are too |
| medications, support devices, and shoulder strapping to | | | | tight, girdle and scapular muscle strengthening |
| reduce the pain plus various therapies like prolotherapy, | | | | exercises are recommended for patients with |
| closed reduction, hydrotherapy, acupuncture, | | | | recurring shoulder dislocations. Weight bearing |
| electrotherapy, occupational therapy and muscle | | | | exercises, rotator cuff strengthening exercises, and |
| toning-strengthening exercises. | | | | shoulder musculature strengthening exercises are |
| 1. Closed Reduction and Immobilization through | | | | often applied to most stroke patients with shoulder |
| supportive devices | | | | subluxation. Remember, it is important to implore a |
| Closed reduction is a medical procedure wherein the | | | | gentle, unexaggerated range of motion each time the |
| head of the humerus is put back into place by applying | | | | patient is exercised. |
| a traction to the arm. Afterwards, immobilization takes | | | | 5. Proper positioning |
| place through the use of supportive devices for four | | | | Proper positioning involves maintaining the correct |
| weeks to prevent the arm from moving. Supportive | | | | posture while sitting, lying in bed, or doing daily activities. |
| devices like shoulder cuffs, slings, and braces prevent | | | | Always remember to carefully transfer, position, and |
| trauma during ambulation but prolonging their use can | | | | assist stroke patients in daily activities as these are |
| cause immobility and encourage spasticity. | | | | also preventive measures to stroke subluxation. |
| 2. Prolotherapy | | | | |