편마비 후 견관절 통증의 원인 분석 (Causes of the Hemiplegic Shoulder Pain)

서지정보

· 발행기관 : 대한재활의학회
· 수록지 정보 : Annals of Rehabilitation Medicine / 34권 / 2호 / 158 ~ 162페이지
· 저자명 : 윤태상, 김대환, 권범선, 류기형, 이호준, 박여경, 심재훈, 박진우

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)

영어초록

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)

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