편마비 환자의 견관절 아탈구 교정을 위한 새로운 신전형 팔걸이의 효과
Effectiveness of Newly Designed Modified Extension-Type Sling for the Subluxated Shoulder in Hemiplegia
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective: To test the effectiveness of the METS (modified extension-type sling) in reducing subluxation in patients with hemiplegic shoulders, and to assess the functional support of METS as the angle of the elbow changes. Method: Sixteen flaccid hemiplegics were assessed by the anteroposterior shoulder radiographs. Three parameters, vertical distance (VD), horizontal distance (HD) and joint distance (JD), were measured on both affected and unaffected sides before and after the fitting of the METS and the Bobath sling. Three parameters were also measured in each elbow flexion angle (0o, 30o, 60o, 90o) after the fitting of the METS and extension-type sling with a forearm cuff to evaluate the effectiveness in the dynamic condition. Results: In the Bobath sling, the mean values of VD and JD reduced significantly (p＜0.05), but on the contrary, HD increased significantly (p＜0.05). In the METS, VD and JD reduced significantly (p＜0.05), and there were no changes in HD (p＞0.05). In the Bobath sling, VD, HD and JD were different from the unaffected side (p＜0.05), but in the METS, three parameters were not different from the unaffected side (p＞0.05). As the elbow flexion angle increased with the METS, three parameters were not different from the unaffected side (p＞0.05), but with the extension-type sling with a forearm cuff, VD and JD were different from the unaffected side (p＜0.05). Conclusion: The METS was more effective not only in the reduction of the hemiplegic shoulder subluxation, but also in the maintenance of reduction as the elbow flexion angle changes within various activities. (J Korean Acad Rehab Med 2010; 34: 150-157)
Abstract
Objective: To test the effectiveness of the METS (modified extension-type sling) in reducing subluxation in patients with hemiplegic shoulders, and to assess the functional support of METS as the angle of the elbow changes. Method: Sixteen flaccid hemiplegics were assessed by the anteroposterior shoulder radiographs. Three parameters, vertical distance (VD), horizontal distance (HD) and joint distance (JD), were measured on both affected and unaffected sides before and after the fitting of the METS and the Bobath sling. Three parameters were also measured in each elbow flexion angle (0o, 30o, 60o, 90o) after the fitting of the METS and extension-type sling with a forearm cuff to evaluate the effectiveness in the dynamic condition. Results: In the Bobath sling, the mean values of VD and JD reduced significantly (p＜0.05), but on the contrary, HD increased significantly (p＜0.05). In the METS, VD and JD reduced significantly (p＜0.05), and there were no changes in HD (p＞0.05). In the Bobath sling, VD, HD and JD were different from the unaffected side (p＜0.05), but in the METS, three parameters were not different from the unaffected side (p＞0.05). As the elbow flexion angle increased with the METS, three parameters were not different from the unaffected side (p＞0.05), but with the extension-type sling with a forearm cuff, VD and JD were different from the unaffected side (p＜0.05). Conclusion: The METS was more effective not only in the reduction of the hemiplegic shoulder subluxation, but also in the maintenance of reduction as the elbow flexion angle changes within various activities. (J Korean Acad Rehab Med 2010; 34: 150-157)
참고문헌 (20)
- Fitzgerald-Finch OP, "Subluxation of the shoulder in hemiplegia", Age Ageing, 4, pp.16~18 (1975)
- Najenson T, "Malalignment of the glenohumeral joint following hemiplegia", Ann Phys Med, 13, pp.96~99 (1965)
- Ikai T, "Evaluation and treatment of shoulder subluxation in hemiplegia: relationship between subluxation and pain", Am J Phys Med Rehabil, 77, pp.421~426 (1998)
- Moskowitz H, "Hemiplegic shoulder", NY State J Med, 69, pp.548~550 (1969)
- Lo S, "Arthrographic and clinical findings in patients with hemiplegic shoulder pain", Arch Phys Med Rehabil, 84, pp.1786~1791 (2003)
- Vuagnat H, "Shoulder pain in hemiplegia revisited: contribution of functional electrical stimulation and other therapies", J Rehabil Med, 35, pp.49~54 (2003)
- Griffin J, "Shoulder pain in patients with hemiplegia: a literature review", Phys Thera, 61, pp.1041~1045 (1981)
- 박정미, "편마비 환자의 견관절 탈구 교정용으로 새로 고안된 세 가지 팔걸이 보조기-증례보고-", Annals of Rehabilitation Medicine, 29(1), pp.141~144 (2005), 대한재활의학회
- Han GH, "Radiologic evaluation of corrective effect for shoulder subluxation by four different types of arm sling", J Korean Acad Rehab Med, 18, pp.118~124 (1994)
- Walker J, "Modified strapping of roll sling", Am J Occup Ther, 37, pp.110~111 (1983)
- 박주현, "편마비 환자의 견관절 아탈구에 대한 두 신전형 팔걸이의 효과 비교", Annals of Rehabilitation Medicine, 28(1), pp.26~30 (2004), 대한재활의학회
- Brooke MM, "Shoulder subluxation in hemiplegia: effects of three different supports", Arch Phys Med Rehabil, 72, pp.582~586 (1991)
- 정지영, "편마비성 견관절 아탈구의 상완골두 전방전위", Annals of Rehabilitation Medicine, 26(6), pp.4~666 (2002), 대한재활의학회
- Han GH, "Radiologic evaluation of the shoulder subluxation in hemiplegic patients", J Korean Acad Rehab Med, 17, pp.226~234 (1993)
- Moodie N, "Subluxation of the glenohumeral joint in hemiplegia: evaluation of supportive devices", Physiother Can, 38, pp.151~157 (1986)
- Chon JS, "Shoulder subluxation in hemiplegia: comparison of therapeutic effects of four different types of slings", J Korean Acad Rehab Med, 22, pp.210~216 (1998)
- 조동수, "편마비 환자의 견관절 아탈구에 대한 GivMohr 팔걸이의 효과", Annals of Rehabilitation Medicine, 31(4), pp.410~416 (2007), 대한재활의학회
- 한태륜, "편마비 환자의 어깨 아탈구를 위한 새로운 보조기의 개발 및 예비연구", Annals of Rehabilitation Medicine, 27(5), pp.4~666 (2003), 대한재활의학회
- Dieruf K, "Comparative effectiveness of the GivMohr sling in subjects with flaccid upper limbs on subluxation through radiologic analysis", Arch Phys Med Rehabil, 86, pp.2324~2329 (2005)
- 윤용순, "뇌졸중 환자의 견관절 아탈구에 대한 변형삼각형 보바스 팔걸이의 영향", Annals of Rehabilitation Medicine, 28(5), pp.494~500 (2004), 대한재활의학회