@article{article_469813, title={Axillary nerve involvement in hemiplegia}, journal={Ege Tıp Bilimleri Dergisi}, volume={2}, pages={19–25}, year={2019}, DOI={10.33713/egetbd.469813}, url={https://izlik.org/JA64MX39EK}, author={Yılmaz, Nihal and Mandıroğlu, Sibel and Alemdaroğlu, Ebru and Uçan, Halil and Ordu Gökkaya, Nilüfer Kutay}, keywords={Stroke,Axillary Nerve,Rehabilitation,Soulder Subluxation}, abstract={<p class="MsoNormal" style="text-align:justify;line-height:150%;"> <span style="font-size:12pt;line-height:150%;font-family:Arial, sans-serif;">ABSTRACT </span> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;line-height:150%;"> <span style="font-size:12pt;line-height:150%;font-family:Arial, sans-serif;">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. </span> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;line-height:150%;"> <span style="font-size:12pt;line-height:150%;font-family:Arial, sans-serif;">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. </span> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;line-height:150%;"> <span style="font-size:12pt;line-height:150%;font-family:Arial, sans-serif;">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). </span> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;line-height:150%;"> <span style="font-size:12pt;line-height:150%;font-family:Arial, sans-serif;">Conclusions:
Shoulder subluxation may cause injury not only to the  axillary nerve but also to other peripheric
nerves and the brachial plexus.  </span> <span style="font-family:Arial, sans-serif;font-size:12pt;">Detecting shoulder subluxation and additional axillary nerve injury could in
help planning an appropriate rehabilitation program and contribute to
functional recovery by preventing complications. </span> </p> <p> </p>}, number={1}