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KMID : 1211620070020020243
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Journal of the Korean Society of Physical Medicine
2007 Volume.2 No. 2 p.243 ~ p.250
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Review of Prevention of Hemipelegic Shoulder Subluxation After Stroke
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Han Jin-Tae
Kweon Oh-Hyun
Shin Hyung-Soo
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Abstract
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Purpose : Shoulder subluxation is a very common problem in patients with hemiplegia with stroke. Prevention of the low tone subluxed shoulder has been an issue for physical therapists working with neurological patients for many years.
Methods :
Results : Literature has identified supports, strapping and functional electrical stimulation(FES) in the management of low tone shoulders. Following review of this evidence it is suggested that there is a lack of reliable and valid research evidence on which to base conclusions. The modalities with the best supporting evidence for realigning the low tone subluxed glenohumeral joint are the triangular sling, Harris hemi sling and the Rolyan humeral cuff used in a standing position and the lap board and arm trough while the patient is sitting. However, due to soft tissue adaptation with associated lack of movement, over-correction and the need for careful patient positioning these supports need to be evaluated for each patient and should be used only in appropriate situations.
Conclusion : Similarly, there is a lack of evidence on the effects of long-term use to this equipment. Electrical stimulation is also thought to have potential in the treatment to subluxed low tone shoulders but additional research is required to clarify the parameters for use and the long-term effects of these forms of management.
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KEYWORD
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Hemiplegia, Shoulder, Support
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