Araştırma Makalesi

Axillary nerve involvement in hemiplegia

Cilt: 2 Sayı: 1 1 Nisan 2019
  • Nihal Yılmaz *
  • Sibel Mandıroğlu
  • Ebru Alemdaroğlu
  • Halil Uçan
  • Nilüfer Kutay Ordu Gökkaya
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Axillary nerve involvement in hemiplegia

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.

Anahtar Kelimeler

Kaynakça

  1. REFERENCES
  2. REFERANCE 1. Stein J, Harvey RL, Macko RF, Winstein CJ, Zorowitz RD. Stroke recovery and rehabilitation: Çeviri: Arasıl T, Öztürk EA. İnme İyileşmesi ve Rehabilitasyonu. 1st Edd. Pelikan Yayıncılık. Ankara. 2012: p.31-44.
  3. REFERANCE 2. Uzunca K. Iİnmede Üst Ekstremite Komplikasyonlari ı. Türk Fiz Tıp Rehab Derg 2006; 52(ÖzelEk B) 2003;6:39-45.
  4. REFERANCE 3. Aras M, Çakıcı A. İnme Rehabilitasyonu. 2nd Edd. Oğuz H, Dursun E, Dursun N. Nobel matbaacılık. İstanbul. 2004. p.589-626.
  5. REFERANCE 4. Basmajian JV. Muscles Alive: their functions revealed by electromyography. Baltimore, Md: Williams & Wilkins; 1978.
  6. REFERANCE 5. Chino N. Electrophysiological investigation on shoulder subluxation in hemiplegics. Scand J Rehab med 1981; 13: 17-21.
  7. REFERANCE 6. Griffin JW. Hemiplegic shoulder pain. Phys Ther. 1986; 66:1884-93.
  8. REFERANCE 7. Tsur A, Ring H. Axillary nerve conduction changes in hemiplegia. Journal of Brachial Plexus and Peripheral Nerve Injury 2008; 2: 26.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Klinik Tıp Bilimleri

Bölüm

Araştırma Makalesi

Yazarlar

Sibel Mandıroğlu Bu kişi benim
Türkiye

Ebru Alemdaroğlu Bu kişi benim
Türkiye

Halil Uçan Bu kişi benim
Türkiye

Nilüfer Kutay Ordu Gökkaya Bu kişi benim
Türkiye

Yayımlanma Tarihi

1 Nisan 2019

Gönderilme Tarihi

17 Ekim 2018

Kabul Tarihi

18 Ocak 2019

Yayımlandığı Sayı

Yıl 2019 Cilt: 2 Sayı: 1

Kaynak Göster

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. AEGEAN J MED SCI. 2019;2(1):19-25. doi:10.33713/egetbd.469813
Chicago
Yılmaz, Nihal, Sibel Mandıroğlu, Ebru Alemdaroğlu, Halil Uçan, ve 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 (01 Nisan 2019) Axillary nerve involvement in hemiplegia. Ege Tıp Bilimleri Dergisi 2 1 19–25.
IEEE
[1]N. Yılmaz, S. Mandıroğlu, E. Alemdaroğlu, H. Uçan, ve N. K. Ordu Gökkaya, “Axillary nerve involvement in hemiplegia”, AEGEAN J MED SCI, c. 2, sy 1, ss. 19–25, Nis. 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 (01 Nisan 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. AEGEAN J MED SCI. 2019;2:19–25.
MLA
Yılmaz, Nihal, vd. “Axillary nerve involvement in hemiplegia”. Ege Tıp Bilimleri Dergisi, c. 2, sy 1, Nisan 2019, ss. 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. AEGEAN J MED SCI. 01 Nisan 2019;2(1):19-25. doi:10.33713/egetbd.469813

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