Les troubles orthopédiques chez les hémiplégiques par accidents vasculaires cérébraux : expérience du service de médecine physique du CHU Oran

Orthopedic disorders are common in victims of hemiplegic stroke. These disorders have a deleterious effect on the quality of recovery and can be a major handicap due to an impairment of gait and prehension. Motor deficit and defective muscle tone following stroke favor the development of neuro-orthopedic complications whose incidence varies dependent upon the author. The stroke population is also an older population with a significant contingent of degenerative bone and joint diseases, principally osteoarthritis and shoulder tendinopathy, which can be a supplementary source of disability. Physical therapy, to be effective, must be initiated early. Deleterious postures and positioning during nursing and transfers must be avoided.