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KMID : 1211620150100040081
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Journal of the Korean Society of Physical Medicine
2015 Volume.10 No. 4 p.81 ~ p.90
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The Study of Asymmetrical of the Serratus Anterior and Lower Trapezius Muscles in Chronic Stroke Patients
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정주리:Jeong Ju-Ri
이완희:Lee Wan-Hee
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Abstract
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PURPOSE : The purpose of this study was to compare the muscle architecture of serratus anterior and lower trapezius using rehabilitative ultrasound imaging (RUSI) in affected and unaffected side of chronic stroke patients.
METHODS : The participants were thirty five patients with stroke hemiplegia in this study. RUSI was used to measure the muscle thickness of the serratus anterior and lower trapezius muscles. We compared the muscle thickness according to affected side and sex, determined the reliability of the measurement image. Independent t-test, intra-class correlation coefficient (ICC) and standard error of measurement (SEM) were used for statistical analysis.
RESULTS : Significant difference in muscle thickness of serratus anterior was observed between affected and unaffected side (p<.001). Muscle thickness according to gender showed a significant difference in unaffected side of serratus anterior (p<.05). Compare asymmetry ratio of serratus anterior and lower trapezius muscle thickness showed a significant difference (p<.001). ICC for intrareliability was .944∼.962 in serratus anterior and .873∼.925 in lower trapezius muscle thickness, respectively. SEM was .001∼.004 in serratus anterior and .002∼.008 in lower trapezius muscle.
CONCLUSION : This study, using RUSI, showed significant difference in muscle thickness of serratus anterior in affected and unaffected side of stroke patients. RUSI is a practical tool for measuring soft-tissue thickness in the scapular region muscle of stroke.
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KEYWORD
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Serratus anterior, Lower trapezius, RUSI, Stroke
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