편마비 환자에서 견관절 아탈구에 대한 기능적 자기자극 치료의 효과
Effects of Functional Magnetic Stimulation on Hemiplegic Shoulder Subluxation
1
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objective: To evaluate the effects of functional magnetic stimulation (FMS) on shoulder subluxation following hemiplegia due to stroke or traumatic brain injury. Method: Twenty-four hemiplegic patients were participated in this study as FMS group (12 subjects) and FES (functional electric stimulation) group (12 subjects). FMS or FES were applied on the supraspinatus and posterior deltoid muscle area for 20 minutes, 5 days a week for 3 weeks. The effect of treatment was evaluated by assessment of the degree of shoulder subluxation using radiologic measurements, pain threshold and pain tolerance pressure, range of motion of the shoulder, muscle power and spasticity. Results: The degree of shoulder subluxation was signifi- cantly decreased after 3 weeks in both groups, and the FMS group improved more than the FES group. However there were no differences between two groups significantly. There was no significant effect of disease duration on change of shoulder subluxation. The ranges of motion of shoulder were increased in FMS group significantly. Pain threshold and pain tolerance pressure were increased in pectoralis major and infraspinatus muscles shortly after FMS application. Conclusion: This study suggests that the FMS could be applied effectively in preventing and reducing the shoulder subluxation in patient with hemplegia irrespective of disease duration. (J Korean Acad Rehab Med 2007; 31: 48-55)
Abstract
Objective: To evaluate the effects of functional magnetic stimulation (FMS) on shoulder subluxation following hemiplegia due to stroke or traumatic brain injury. Method: Twenty-four hemiplegic patients were participated in this study as FMS group (12 subjects) and FES (functional electric stimulation) group (12 subjects). FMS or FES were applied on the supraspinatus and posterior deltoid muscle area for 20 minutes, 5 days a week for 3 weeks. The effect of treatment was evaluated by assessment of the degree of shoulder subluxation using radiologic measurements, pain threshold and pain tolerance pressure, range of motion of the shoulder, muscle power and spasticity. Results: The degree of shoulder subluxation was signifi- cantly decreased after 3 weeks in both groups, and the FMS group improved more than the FES group. However there were no differences between two groups significantly. There was no significant effect of disease duration on change of shoulder subluxation. The ranges of motion of shoulder were increased in FMS group significantly. Pain threshold and pain tolerance pressure were increased in pectoralis major and infraspinatus muscles shortly after FMS application. Conclusion: This study suggests that the FMS could be applied effectively in preventing and reducing the shoulder subluxation in patient with hemplegia irrespective of disease duration. (J Korean Acad Rehab Med 2007; 31: 48-55)
참고문헌 (26)
- Griffin J, "Shoulder pain in patients with hemiplegia: literature review", Phys Ther, 61, pp.1041~1045 (1981)
- Hakuno A, "Arthrographic findings in hemiplegic shoulders", Arch Phys Med Rehabil, 65, pp.706~711 (1984)
- Rizk TE, "Arthrographic studies in painful hemiplegic shoulders", Arch Phys Med Rehabil, 65, pp.254~256 (1984)
- 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)
- Van Langenberghe HVK, "Degree of pain and grade of subluxation in the painful shoulder", Scand J Rehabil Med, 20, pp.161~166 (1988)
- Basmajian JV, "Factors preventing downward dislocation of the adducted shoulder joint", J Bone Joint Surg Am, 41, pp.1182~1186 (1959)
- Chaco J, "Subluxation of the glenohumeral joint in hemiplegia", Am J Phys Med, 50, pp.139~143 (1971)
- Ahn YP, "Orthotic management for stroke hemiplegia", J Korean Acad Rehab Med, 14, pp.1~9 (1990)
- 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)
- Kralj A, "Functional electrical stimulation, In Functional electrical stimulation, 1st ed", pp.28~50 (1995), Ryo Moon Gak
- Kim KK, "The effect of functional electrical stimulation on hemiplegic shoulder subluxation", J Korean Acad Rehab Med, 24, pp.402~409 (2000)
- 한태륜, "편마비 환자의 상지에 대한 기능적 전기 자극의 강도", Annals of Rehabilitation Medicine, 26(4), pp.4~384 (2002), 대한재활의학회
- Robinson LR, "Magnetic stimulation of the central and peripheral nervous systems, In Electrodiagnostic medicine, 2nd ed", pp.415~417 (2002), Henrey & Belfus
- Yamanishi T, "Comparative study of the effects of magnetic versus electrical stimulation on inhibition of detrusor overactivity", Urology, 56, pp.777~781 (2000)
- 정석영, "복압성요실금을 가진 여성 환자에서 동반되는 하부요로증상 및 성기능에 대한 기능적자기장자극치료의 효과", Korean Journal of Urology, 44(10), pp.993~998 (2003), 대한비뇨기과학회
- Jorgensen WA, "Electrochemical therapy of pelvic pain: effects of pulsed electromagnetic fields (PEMF) on tissue trauma", Eur J Surg, 574, pp.83~86 (1994)
- Quek P, "A critical review on magnetic stimulation: what is its role in the management of pelvic floor disorders?", Curr Opin Urol, 15, pp.231~235 (2005)
- Yamanishi, T, "Effect of functional continuous magnetic stimulation of urethral closure in healthy volunteers", Urology, 54, pp.652~655 (1999)
- Han GH, "Radiologic evaluation of the shoulder subluxation in hemiplegic patients", J Korean Acad Rehab Med, 17, pp.226~234 (1993)
- Kong KH, "Neurolysis of the musculocutaneous nerve with alcohol to treat poststroke elbow flexor spasticity", Arch Phys Med Rehabil, 80, pp.1234~1236 (1999)
- Shai G, "Glenohumeral malalignment in the hemiplegic shoulder", Scan J Rehabil Med, 16, pp.133~136 (1984)
- Culham EG, "Shoulder complex position and glenohumeral subluxation in hemiplegia", Arch Phys Med Rehabil, 76, pp.857~864 (1995)
- Galloway NTM, "Update on extracorporeal magnetic innervation (ExMI) therapy for stress urinary incontinence", Urology, 56, pp.82~86 (2000)
- Jang SH, "The motor cortex mapping using transcranial magnetic stimulation in normal subjects", J Korean Acad Rehab Med, 24, pp.219~224 (2000)
- Faghri PD, "The effects of functional electrical stimulation on shoulder subluxation, arm function recovery, and shoulder pain in hemiplegic stroke patients", Arch Phys Med Rehabil, 75, pp.73~79 (1994)
- Lake DA, "Neuromuscular electrical stimulation. An overview and its application in the treatment of sports injuries", Sports Med, 13, pp.320~336 (1992)