{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:05:53Z","timestamp":1753891553159,"version":"3.41.2"},"reference-count":19,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T00:00:00Z","timestamp":1750809600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study presents the results (efficacy and safety) of this combined approach to alleviate pain and improve passive range of motion (PROM).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective, multicenter observational study (36 patients).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At 1\u202fmonth, the mean pain intensity (visual analogue scale VAS) significantly decreased from 6.5\u202f\u00b1\u202f1.5 at baseline to 1.9\u202f\u00b1\u202f2.1, and PROM showed significant improvement across all three planes (mean PROM gains: 28.4\u00b0 in abduction, 29.2\u00b0 in flexion, and 13.4\u00b0 in external rotation). The benefits were largely maintained at 3\u202fmonths, and no serious complications were observed (one vasovagal episode).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The combined approach is a clinically feasible, safe, and effective method for treating HSP in PRM settings.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fneur.2025.1620168","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T04:10:23Z","timestamp":1750824623000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Hemiplegic shoulder pain, a combined approach with suprascapular nerve block and intra-articular corticosteroid injections: a case series"],"prefix":"10.3389","volume":"16","author":[{"given":"Matthieu","family":"Gahier","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andy","family":"Lecler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guillaume","family":"Gadbled","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Arnolfo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raphael","family":"Gross","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,6,25]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1016\/j.apmr.2014.09.007","article-title":"Incidence and associations of hemiplegic shoulder pain poststroke: prospective population-based study","volume":"96","author":"Adey-Wakeling","year":"2015","journal-title":"Arch Phys Med Rehabil"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1177\/0269215506070254","article-title":"The prevalence and characteristics of shoulder pain after traumatic brain injury","volume":"21","author":"Leung","year":"2007","journal-title":"Clin Rehabil"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"758","DOI":"10.1097\/PHM.0000000000000496","article-title":"Hemiplegic shoulder pain reduces quality of life after acute stroke: a prospective population-based study","volume":"95","author":"Adey-Wakeling","year":"2016","journal-title":"Am J Phys Med Rehabil"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"768","DOI":"10.1097\/PHM.0b013e318214e976","article-title":"Underlying pathology and associated factors of hemiplegic shoulder pain","volume":"90","author":"Kalichman","year":"2011","journal-title":"Am J Phys Med Rehabil"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"668370","DOI":"10.3389\/fneur.2021.668370","article-title":"A novel approach to new-onset hemiplegic shoulder pain with decreased range of motion using targeted diagnostic nerve blocks: the ViVe algorithm","volume":"12","author":"Fitterer","year":"2021","journal-title":"Front Neurol"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"763","DOI":"10.1177\/1747493019897843","article-title":"Canadian stroke best practice recommendations: rehabilitation, recovery, and community participation following stroke. 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