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. 2025 Jul 20:57:jrm43179.
doi: 10.2340/jrm.v57.43179.

Mapping of ultrasonography methods and shoulder soft-tissue injury locations in patients with stroke: a scoping review

Masayuki Dogan  1 , Daisuke Ito  1 , Shota Watanabe  2 , Tetsuya Tsuji  1 , Michiyuki Kawakami  3
Affiliations

Mapping of ultrasonography methods and shoulder soft-tissue injury locations in patients with stroke: a scoping review

Masayuki Dogan et al. J Rehabil Med. .

Abstract

Objective: To map studies that use ultrasonography to assess shoulder soft-tissue injuries in stroke survivors and identify the methods and soft-tissue injury locations.

Design: Scoping review.

Methods: A literature search was performed through PubMed and ICHUSI from 1966 to May 2023 using the terms "stroke", "shoulder soft-tissue injury", and "ultrasonography". Original articles that used ultrasonography to evaluate shoulder soft-tissue injuries in patients with stroke were selected. Extracted data included study design, phase, sample size, ultrasonographic methods (probe, evaluation position, frequency, and assessment site), and soft-tissue injury location.

Results: Among 249 articles identified, 10 met the inclusion and exclusion criteria. In ultrasonographic methods, over half the studies used linear transducer probes, evaluated participants in a sitting position, and applied frequencies of 5-7 MHz. Common assessment sites were the supraspinatus tendon, long head of the biceps tendon, subscapularis tendon, infraspinatus tendon, and subacromial-subdeltoid bursa. The most common locations of shoulder soft-tissue injuries were the long head of the biceps tendon (effusion/tendinitis) and the supraspinatus tendon (tear/tendinitis).

Conclusion: This study identified ultrasonographic methods and hemiplegic shoulder soft-tissue injury locations. These findings may help facilitate evaluations and enable proper assessment of shoulder soft-tissue injuries in patients with stroke using ultrasonography in clinical practice.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1. Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) extension for Scoping Reviews flow diagram.
See this image and copyright information in PMC

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