Axillary nerve involvement in hemiplegia

Nihal Yılmaz; Sibel Mandıroğlu; Ebru Alemdaroğlu; Halil Uçan; Nilüfer Kutay Ordu Gökkaya

doi:10.33713/egetbd.469813

Axillary nerve involvement in hemiplegia

Abstract

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.

Keywords

Stroke,Axillary Nerve,Rehabilitation,Soulder Subluxation

References

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Details

Primary Language

English

Subjects

Clinical Sciences

Journal Section

Research Article

Authors

Nihal Yılmaz ^*
Türkiye

Sibel Mandıroğlu This is me
Türkiye

Ebru Alemdaroğlu This is me
Türkiye

Halil Uçan This is me
Türkiye

Nilüfer Kutay Ordu Gökkaya This is me
Türkiye

Publication Date

April 1, 2019

Submission Date

October 17, 2018

Acceptance Date

January 18, 2019

Published in Issue

Year 2019 Volume: 2 Number: 1

DOI

https://doi.org/10.33713/egetbd.469813

IZ

https://izlik.org/JA64MX39EK

Cite

RIS / Bibtex

APA

Yılmaz, N., Mandıroğlu, S., Alemdaroğlu, E., Uçan, H., & Ordu Gökkaya, N. K. (2019). Axillary nerve involvement in hemiplegia. Ege Tıp Bilimleri Dergisi, 2(1), 19-25. https://doi.org/10.33713/egetbd.469813

AMA

1.Yılmaz N, Mandıroğlu S, Alemdaroğlu E, Uçan H, Ordu Gökkaya N K. Axillary nerve involvement in hemiplegia. Ege Tıp Bilimleri Dergisi. 2019;2(1):19-25. doi:10.33713/egetbd.469813

Chicago

Yılmaz, Nihal, Sibel Mandıroğlu, Ebru Alemdaroğlu, Halil Uçan, and Nilüfer Kutay Ordu Gökkaya. 2019. “Axillary Nerve Involvement in Hemiplegia”. Ege Tıp Bilimleri Dergisi 2 (1): 19-25. https://doi.org/10.33713/egetbd.469813.

EndNote

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

IEEE

[1]N. Yılmaz, S. Mandıroğlu, E. Alemdaroğlu, H. Uçan, and N. K. Ordu Gökkaya, “Axillary nerve involvement in hemiplegia”, Ege Tıp Bilimleri Dergisi, vol. 2, no. 1, pp. 19–25, Apr. 2019, doi: 10.33713/egetbd.469813.

ISNAD

Yılmaz, Nihal - Mandıroğlu, Sibel - Alemdaroğlu, Ebru - Uçan, Halil - Ordu Gökkaya, Nilüfer Kutay. “Axillary Nerve Involvement in Hemiplegia”. Ege Tıp Bilimleri Dergisi 2/1 (April 1, 2019): 19-25. https://doi.org/10.33713/egetbd.469813.

JAMA

1.Yılmaz N, Mandıroğlu S, Alemdaroğlu E, Uçan H, Ordu Gökkaya N K. Axillary nerve involvement in hemiplegia. Ege Tıp Bilimleri Dergisi. 2019;2:19–25.

MLA

Yılmaz, Nihal, et al. “Axillary Nerve Involvement in Hemiplegia”. Ege Tıp Bilimleri Dergisi, vol. 2, no. 1, Apr. 2019, pp. 19-25, doi:10.33713/egetbd.469813.

Vancouver

1.Nihal Yılmaz, Sibel Mandıroğlu, Ebru Alemdaroğlu, Halil Uçan, Nilüfer Kutay Ordu Gökkaya. Axillary nerve involvement in hemiplegia. Ege Tıp Bilimleri Dergisi. 2019 Apr. 1;2(1):19-25. doi:10.33713/egetbd.469813