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
- REFERENCES
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- REFERANCE 5. Chino N. Electrophysiological investigation on shoulder subluxation in hemiplegics. Scand J Rehab med 1981; 13: 17-21.
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Ayrıntılar
Birincil Dil
İngilizce
Konular
Klinik Tıp Bilimleri
Bölüm
Araştırma Makalesi
Yazarlar
Nihal Yılmaz
*
Türkiye
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