편마비 후 견관절 통증의 원인 분석
Causes of the Hemiplegic Shoulder Pain
2
조회
0
다운로드
7
인용
0
참고문헌
키워드
초록
Objective: To find out how many causes constitute hemiplegic shoulder pain (HSP) and how they distribute in an individual patient. Method: Twenty-three consecutive patients with HSP which had newly developed within 3 months after stroke were enrolled from January 2008 till July, 2008. They all performed a passive range of motion test for adhesive capsulitis, modified Ashworth test for spasticity, simple x-ray for subluxation, ultrasonography for rotator cuff problems and three- phase bone scintigraphy for complex regional pain syndrome (CRPS). The causes of HSP were analyzed in number and distribution. Results: Average 2.26 causes constituted with HSP in an individual patient. Most common causes were adhesive capsulitis and CRPS (respectively 14 patients). Two patients had 4 and eight patients had 3 types of shoulder pathology. Conclusion: More than two types of shoulder pathology existed in a patient with HSP. These findings shoulde be carefully considered when treating the patients with HSP. (J Korean Acad Rehab Med 2010; 34: 158-162)
Abstract
Objective: To find out how many causes constitute hemiplegic shoulder pain (HSP) and how they distribute in an individual patient. Method: Twenty-three consecutive patients with HSP which had newly developed within 3 months after stroke were enrolled from January 2008 till July, 2008. They all performed a passive range of motion test for adhesive capsulitis, modified Ashworth test for spasticity, simple x-ray for subluxation, ultrasonography for rotator cuff problems and three- phase bone scintigraphy for complex regional pain syndrome (CRPS). The causes of HSP were analyzed in number and distribution. Results: Average 2.26 causes constituted with HSP in an individual patient. Most common causes were adhesive capsulitis and CRPS (respectively 14 patients). Two patients had 4 and eight patients had 3 types of shoulder pathology. Conclusion: More than two types of shoulder pathology existed in a patient with HSP. These findings shoulde be carefully considered when treating the patients with HSP. (J Korean Acad Rehab Med 2010; 34: 158-162)
참고문헌 (31)
- Dromerick AW, "Medical and neurological complications during stroke rehabilitation", Stroke, 25, pp.358~361 (1994)
- Wanklyn P, "Hemiplegic shoulder pain (HSP): natural history and investigation of associated features", Disabil Rehabil, 18, pp.497~501 (1996)
- Griffin JW, "Hemiplegic shoulder pain", Phys Ther, 66, pp.1884~1893 (1986)
- Aras MD, "Shoulder pain in hemiplegia: results from a national rehabilitation hospital in Turkey", Am J Phys Rehabil, 83, pp.713~719 (2004)
- Gamble GE, "Post stroke shoulder pain: a prospective study of the association and risk factors in 152 patients from a consecutive cohort of 205 patients presenting with stroke", Eur J Pain, 5, pp.467~474 (2002)
- Ratnasabapathy Y, "Shoulder pain on people with a stroke: a population-based study", Clin Rehabil, 17, pp.304~311 (2003)
- Joynt RL, "The source of shoulder pain in hemiplegia", Arch Phys Med Rehabil, 73, pp.409~413 (1992)
- Rajaratnam BS, "Predictability of simple clinical tests to identify shoulder pain after stroke", Arch Phys Med Rehabil, 88, pp.1016~1021 (2007)
- Walsh K, "Management of shoulder pain in patients with stroke", Postgrad Med J, 77, pp.645~649 (2001)
- Chantraine A, "Shoulder pain and dysfunction in hemiplegia: Effects of functional electrical stimulation", Arch Phys Med Rehabil, 80, pp.328~331 (1999)
- Lynne TS, "Shoulder pain after stroke: a review of the evidence base to inform the development of an integrated care pathway", Clin Rehabil, 16, pp.276~298 (2002)
- Lo SF, "Arthrographic and clinical findings in patients with hemiplegic shoulder pain", Arch Phys Med Rehabil, 84, pp.1786~1791 (2003)
- 신정빈, "편마비 환자의 견관절 동통의 원인 및 진단방사선 소견의 비교", Annals of Rehabilitation Medicine, 27(3), pp.1~299 (2003), 대한재활의학회
- Bruckner FE, "A prospective study of adhesive capsulitis of the shoulder (“frozen shoulder”) in a high risk population", Q J Med, 198, pp.191~204 (1981)
- Boyd EA, "Clinical measures of shoulder subluxation: their reliability", Can J Public Health, 83, pp.24~28 (1992)
- Van Ouwenaller C, "Painful shoulder in hemiplegia", Arch Phys Med Rehabil, 67, pp.23~25 (1986)
- Merskey H, "Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms" (1994), IASP Press
- Bohannon RW, "Interrater reliability of a modified Ashworth scale of muscle spasticity", Phys Ther, 67, pp.206~207 (1987)
- Han GH, "Radiologic evaluation of the shoulder subluxation in hemiplegic patients", J Korean Acad Rehab Med, 17, pp.226~234 (1993)
- Teefey SA, "Ultrasonography of the rotator cuff. A comparison of ultrasonographic and arthroscopic findings in one hundred consecutive cases", J Bone Joint Surg Am, 82, pp.498~504 (2000)
- Holder LE, "Reflex sympathetic dystrophy in the hands: clinical and scintigraphic criteria", Radiology, 152, pp.517~522 (1984)
- Teasell RW, "Evidence-based review of stroke rehabilitation", Top Stroke Rehab, 10, pp.29~58 (2003)
- Niessen MH, "Relationship among shoulder proprioception, kinematics, and pain after stroke", Arch Phys Med Rehabil, 90, pp.1557~1564 (2009)
- Lanzer WL, "Clinical aspects of shoulder injuries", Radiol Clin North Am, 26, pp.157~160 (1988)
- Jensen EM, "The hemiplegic shoulder", Scand J Rehab Med, 7, pp.113~119 (1980)
- 고명환, "편마비 환자의 견관절 초음파 소견과 임상 양상과의 비교", Annals of Rehabilitation Medicine, 30(3), pp.213~218 (2006), 대한재활의학회
- Wiley AM, "Arthroscopic appearance of frozen shoulder", Arthroscopy, 7, pp.138~143 (1991)
- Davis SW, "Shoulder-hand syndrome in a hemiplegic population: a 5-year retrospective study", Arch Phys Med Rehabil, 58, pp.353~356 (1977)
- Veldman PH, "Signs and symptoms of reflex sympathetic dystrophy: prospective study of 829 patients", Lancet, 342, pp.1012~1016 (1993)
- Gokkaya NK, "Reflex sympathetic dystrophy in hemiplegia", Int J Rehabil Res, 29, pp.275~279 (2006)
- Moppes FI, "Role of shoulder ultrasonography in the evaluation of the painful shoulder", Eur J Radiol, 19, pp.142~146 (1995)