Article Dans Une Revue Frontiers in Neurology Année : 2025

Hemiplegic shoulder pain, a combined approach with suprascapular nerve block and intra-articular corticosteroid injections: a case series

Résumé

Background Hemiplegic shoulder pain (HSP) is a prevalent and disabling condition affecting patients after stroke or traumatic brain injury. There is currently no consensus regarding infiltrative strategies. A combined approach, involving suprascapular nerve block and intra-articular corticosteroid injection, has been proposed for HSP and capsulitis, yet evidence remains limited. Objective This study presents the results (efficacy and safety) of this combined approach to alleviate pain and improve passive range of motion (PROM). Methods A retrospective, multicenter observational study (36 patients). Results At 1 month, the mean pain intensity (visual analogue scale VAS) significantly decreased from 6.5 ± 1.5 at baseline to 1.9 ± 2.1, and PROM showed significant improvement across all three planes (mean PROM gains: 28.4° in abduction, 29.2° in flexion, and 13.4° in external rotation). The benefits were largely maintained at 3 months, and no serious complications were observed (one vasovagal episode). Conclusion The combined approach is a clinically feasible, safe, and effective method for treating HSP in PRM settings.

A retrospective, multicenter observational study (36 patients).

Dates et versions

hal-05434762 , version 1 (30-12-2025)

Identifiants

Citer

Matthieu Gahier, Andy Lecler, Guillaume Gadbled, Paul Arnolfo, Raphael Gross. Hemiplegic shoulder pain, a combined approach with suprascapular nerve block and intra-articular corticosteroid injections: a case series. Frontiers in Neurology, 2025, 16 (1), pp.1620168. ⟨10.3389/fneur.2025.1620168⟩. ⟨hal-05434762⟩
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