| Effects of Functional Magnetic Stimulation on Hemiplegic Shoulder Subluxation. |
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Sohn, Min Kyun , Cho, Kang Hee , Yoon, Sang Jin , Lee, Tae Sung , Lee, Kwang Jae |
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Department of Rehabilitation Medicine, Chungnam National University College of Medicine, Korea. rytt@naver.com |
| 편마비 환자에서 견관절 아탈구에 대한 기능적 자기자극 치료의 효과 |
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손민균, 조강희, 윤상진, 이태성, 이광재 |
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충남대학교 의과대학 재활의학교실 |
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| Abstract |
Objective
To evaluate the effects of functional magnetic stimulation (FMS) on shoulder subluxation following hemiplegia due to stroke or traumatic brain injury.
Method
Twenty-four hemiplegic patients were participated in this study as FMS group (12 subjects) and FES (functional electric stimulation) group (12 subjects). FMS or FES were applied on the supraspinatus and posterior deltoid muscle area for 20 minutes, 5 days a week for 3 weeks. The effect of treatment was evaluated by assessment of the degree of shoulder subluxation using radiologic measurements, pain threshold and pain tolerance pressure, range of motion of the shoulder, muscle power and spasticity.
Results
The degree of shoulder subluxation was signifi cantly decreased after 3 weeks in both groups, and the FMS group improved more than the FES group. However there were no differences between two groups significantly. There was no significant effect of disease duration on change of shoulder subluxation. The ranges of motion of shoulder were increased in FMS group significantly. Pain threshold and pain tolerance pressure were increased in pectoralis major and infraspinatus muscles shortly after FMS application.
Conclusion
This study suggests that the FMS could be applied effectively in preventing and reducing the shoulder subluxation in patient with hemplegia irrespective of disease duration. (J Korean Acad Rehab Med 2007; 31: 48-55) |
| Key Words:
Hemiplegic shoulder subluxation, Functional magnetic stimulation |
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