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KMID : 0390320150250020023
Chungbuk Medical Journal
2015 Volume.25 No. 2 p.23 ~ p.29
Test-Retest Reliability of Ultrasonographic Measurements of Acromion-Greater Tuberosity Distance in Shoulder Subluxation
À̰湫:Lee Kyung-Moo
ÀúÀÚ¾øÀ½:No authors listed
Abstract
Purpose: The purposes of this study were to assess the test-retest reliability of ultrasound examination on the measurement of shoulder subluxation in patients with hemiplegia.

Materials and Methods: 10 hemiplegic patients without any history of major musculoskeletal or neurological diseases were recruited. We conducted ultrasound examination on both shoulder to measure the shortest distance between the acromion to greater tubercle in longitudinal plane. The measurement was repeated in 1week to assess the test-retest reliability. In ultrasound examination, the shoulder was in neutral rotation, with the elbow at 90 degrees of flexion and the forearm in pronation. The forearms rested on a pillow placed on the patient¡¯s lap with the elbow joint itself remaining unsupported

Results: 1) The distance between the acromion to greater tubercle was 1.97¡¾0.23 cm in unaffected side and 2.68¡¾0.81 cm in affected side. The distance between the acromion to greater tubercle was longer in affected side than unaffected side
by 0.71¡¾0.68 cm. 2) The test-retest reliability was 0.84 in unaffected side and 0.75 in affected side. 3) The ratio of the length of acromion-greater tubercle was 1.35¡¾0.33.

Conclusion: Ultrasound examination is a reliable method to assess the shoulder subluxation in patients with hemiplegia and the arm posture of the subjects seems to be most important to maintain reliability of the examination.
KEYWORD
Shoulder, Subluxation, Ultrasonography, Reliability
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