ORIGINAL RESEARCH article
Front. Neurol.
Sec. Neurorehabilitation
Volume 16 - 2025 | doi: 10.3389/fneur.2025.1665241
This article is part of the Research TopicNew methods in neurorehabilitationView all 15 articles
Association of bilateral acromionhumeral distance or acromion-greater tuberosity ratio with glenohumeral subluxation for stroke patients with hemiplegia based on ultrasound and radiographic techniques
Provisionally accepted
- 1Second People's Hospital of Hefei, Hefei, China
- 2The Affiliated Hefei Hospital of Anhui Medical University, Hefei, China
- 3The Second People's Hospital of Hefei Affiliated to Bengbu Medical University, Hefei, China
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Glenohumeral subluxation (GHS) is notably a prevalent musculoskeletal issue among individuals experiencing hemiplegia following a stroke. This research seeks to assess the association between the ratio of bilateral acromionhumeral distance (AHD) or acromion-greater tuberosity (AGT) obtained via ultrasound or radiographic techniques and the severity of GHS. Data were collected from bilateral measurements using ultrasonography or radiography for healthy participants based on the informed consent of each participant, and the ratio of AHDs or AGTs between the left and right sides was computed. Two measurements were employed to ascertain the reliability of the ratio. The relation of the ratio with the severity of GHS was explored based on the correlation analysis for stroke patients with hemiplegia. A total of 22 healthy participants were assessed, revealing an intra-class correlation coefficient (ICC) of 0.90 (p < 0.05) for the AGT ratio. Similarly, the ICC for the AHD ratio with 28 healthy participants, determined through radiographic evaluation, yielded an identical result of 0.93 (p<0.05). In addition, no statistical differences in characteristics between ultrasonography and radiography groups. 47 cases of stroke patients with hemiplegia were included, and GHS was clearly diagnosed. A statistical correlation was taken between the acromio-humeral interval and the ratios in patients with stroke hemiplegia (N=21, r=0.56, p<0.05 for ultrasonography and N=45, r=0.49, p< 0.05 for radiography). The ratio of bilateral AHDs or AGTs, assessed through ultrasound or radiographic method, serves as an important metric for GHS among individuals experiencing hemiplegia following a stroke, thereby facilitating focused rehabilitation strategies.
Keywords: Stroke, Hemiplegia, glenohumeral subluxation, Radiography, Ultrasonography
Received: 13 Jul 2025; Accepted: 17 Sep 2025.
Copyright: © 2025 Yuan, Zhang, Wang, Sheng, Chen, Shen and Ge. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Pingping Ge, 1034431003@qq.com
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