F-3-05B-03
SHOULDER SUBLUXATION IN HEMIPLEGIA: CLINICAL AND RADIOLOGIC MEASUREMENT
Tiebin Yan (Sun yet-sun University of Medicine Sciences, Guangzhou, 510120, P.R. China)
Purpose: To compare the difference and relationship between clinical measurement (CM) and radiologic measurement (RM) of shoulder subluxation in hemiplegia.
Method: Prospective controlled study. 32 hemiplegic patients with shoulder subluxation, 14 male, 18 ferule, 32 to 72 years of age, were divided into low-tone (n=14) and high-tone (n=18) group. Distances from acromial process to ear-tip and to epicondyle of humerus were measured with patients' sitting. Two x-rays (0 and 45) of each shoulder were taken and measured including vertical and horizontal subluaxtion, absoluted and related abduction angle of humerus. Statistical analysis included t test amd Pearson correlation coefficient.
Result: No differences were found in age, sex, side of subluxation, essessment time between two groups (p>.05).There were signifecant differences in CMs (p<.001) and RMs (p<.045) except for horizontal subluxation in RM (p=.064) compared with both the affected and unaffected side. Significant relationships were identified in two CMs (r=.630, p=.001),and between CM and absoluted abduction angle of RM (r=.3784 p=.036). Similar significant relationships were found between four RMs (r=.5926--.8811, p=.001). There were no relationship between CMs, RMs and muscle tone.
Conclusion: Shoulder subluxation of hemiplegia can be identified with either CM or RM, the former was simple, practical, the later complicated, costed but more precise. No relationship was found between subluxation and muscle tone.
F-3-05B-04
NEWLY DESIGNED SHOULDER FOREARM SUPPORT FOR THE SUBLUXATED SHOULDER IN STROKE PATIENTS
Woog Kang, Jong Y. Yoo, Sang. B. Ha (University of Ulsan, College of Medicine/Asan Medical Center, Seoul, Korea)
Purpose: Shoulder subluxalion is a common problem in hemiplegics and often accompanies with shoulder-hand syndrome. The devices which have been used for shoulder support have not satisfactorily prevented the shoulder subluxation and its related pain. We have newly designed a shoulder forearm support providing better results than other conventional arm slings.
Method: Fourteen hemiplegic patients were fitted with newly designed shoulder forearm support consisting of a main back piece, a forearm trough and an arm piece attached by swaps. The back piece is to be fixed on axilla of the affected side and has a belt that surrounds chest anteriorly. By taking radiographs with and without the support, the amounts of corrections on glenohumeral spaces were measured.
Result: The reductions of subluxations achieved by our device were confirmed radiographically on 14 participants.
Conclusion: The support offers proper vertical lifting force to keep humeral head onto glenoid cavity. Our newly designed support is superior to other conventional devices and a very reliable assistive device for preventing hemiplegics shoulder subluxations and diminishing hand swellings and pain.
