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Axillary nerve involvement in hemiplegia

Yıl 2019, Cilt: 2 Sayı: 1, 19 - 25, 01.04.2019
https://doi.org/10.33713/egetbd.469813

Öz

ABSTRACT

Objective:
Brachial plexus and peripheric nerves of the upper extremities can be damaged
in hemiplegic shoulder subluxation. This study aimed to determine the
relationship between shoulder subluxation and axillary nerve injury.

Methods:
Sixty patients with stroke were included in the study. The Brunnstrom
Scale  and the Ashworth Scale were used
to evaluate the  motor and muscle tone,
respectively. Functional evaluation was performed with the Fugl–Meyer Scale and
the Stroke Impairment Assessment Set . The Van Langenberghe method was used to
grade shoulder subluxation on anterior-posterior shoulder X-ray. Latencies and
amplitudes of the axillary nerves of the normal and hemiplegic sides were
compared using electromyographs.

Results:
The latency of the axillary nerves of the hemiplegic sides (4.,2±0.,75  msn) was prolonged when compared to that of
the normal sides (3.,7±0.,7 msn), and this difference was statistically
significant (P<0.,001). The amplitudes of the compound muscle action
potential of the hemiplegic sides (4.,1±4.,22 mv)  lower than that of the normal sides
(6.,1±6.,57 mv) (P<0.,001).

Conclusions:
Shoulder subluxation may cause injury not only to the  axillary nerve but also to other peripheric
nerves and the brachial plexus. 
Detecting shoulder subluxation and additional axillary nerve injury could in
help planning an appropriate rehabilitation program and contribute to
functional recovery by preventing complications.

Kaynakça

  • REFERENCES
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  • REFERANCE 11. Paci M, Nannetti L, Rinaldi LA. Glenohumeral subluxation in hemiplegia. Physiother Res Int. 2007; 12: 95-104.
  • REFERANCE 12. Van Langenberghe HV, Hogan BM. Degree of pain and grade of subluxation in the painful hemiplegic shoulder. Scand J Rehabil Med. 1988; 20 : 161-166.REFERANCE 13. Duncan PW, Propst M,Nelson SG. Reliability of the Fugl-Mayer Assessment of Sensorimotor Recovery Following Cerebrovasküler Accident.
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  • REFERANCE 15. Chıno N,Sonoda S,Domen K,Saitoh E,Kimura A. Stroke Impairment Assessment Set (SIAS). A new evaluation instrument for stroke patients. Jpn J Rehabil Med 1994; 31: 119-125.
  • REFERANCE 16. Gregson J, Leathley M, Moore A et al. Reliability of tone assessment scale and the modified Ashworth scale as clinical tools for assessing post stroke spasticity. Arch Phys Med Rehab il 1999; 80: 1013-1016.
  • REFERANCE 17. Shin j.OH, Clinical Electromyography : nerve conduction studies 3rd edition 2003; p191
  • REFERANCE 18. Walsh MT. Upper limb neural tension testing and mobilization. Fact, fiction, and a practical approach. J Hand Ther. 2005 Apr-Jun;18:241-58.
  • REFERANCE19. Ring H, Tsur A, Vashdi Y: long term clinical and elektromyographical (EMG) follow up of hemiplegic’s shoulder. Eur J Phys Med Rehabil 1993;3:137-140.REFERANCE 20. Kallio MA, Kovala TT, Niemelä ENK, Huuskonen UEJ, Tolonen EU. Shoulder pain and an isolated teres minor nerve lesion. J Clin Neurophysiol. 2011 oct; 28:524–7.
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Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Orijinal Araştırma
Yazarlar

Nihal Yılmaz

Sibel Mandıroğlu Bu kişi benim

Ebru Alemdaroğlu Bu kişi benim

Halil Uçan Bu kişi benim

Nilüfer Kutay Ordu Gökkaya Bu kişi benim

Yayımlanma Tarihi 1 Nisan 2019
Kabul Tarihi 18 Ocak 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 2 Sayı: 1

Kaynak Göster

EndNote Yılmaz N, Mandıroğlu S, Alemdaroğlu E, Uçan H, Ordu Gökkaya NK (01 Nisan 2019) Axillary nerve involvement in hemiplegia. Ege Tıp Bilimleri Dergisi 2 1 19–25.

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