Signs and Symptoms
· During the flaccid stage after a stroke, the trunk tends to lean or shorten toward the hemiplegic side. (2)
· The scapula descend from its normal horizontal level. (2)
· The trapezium and the serratus anterior also become flaccid. (2)
· The scapula rotates downward. (2)
· Loss of normal muscle tone occurs. (2)
· Rotator cuff muscles lose the ability to maintain the GHJ. (2)
· During the spastic stage, the pectoralis major and minor, rhomboids, levator scapulae, and latissimus dorsi can become hypertonic, further rotating the scapula downward resulting GHS. (2)
· The scapula descend from its normal horizontal level. (2)
· The trapezium and the serratus anterior also become flaccid. (2)
· The scapula rotates downward. (2)
· Loss of normal muscle tone occurs. (2)
· Rotator cuff muscles lose the ability to maintain the GHJ. (2)
· During the spastic stage, the pectoralis major and minor, rhomboids, levator scapulae, and latissimus dorsi can become hypertonic, further rotating the scapula downward resulting GHS. (2)