뇌졸중 환자의 견관절 아탈구와 관련된 인자들

Objectives: Shoulder subluxation is common complication after stroke. And it can result in delayedneurological recovery in hemiplegic stroke patients. The aim of this study is identifying the incidence andassociating factors of shoulder subluxation in stroke patients. Methods: Stroke patients from 1 rehabilitation center from January 2008 to January 2012 were enrolled inthe present study. The basic demographic data were registered at the time of admission or transfer torehabilitation center.To assess the shoulder subluxation, we have used fingers’breadth method and plain radiography. Wediagnosed shoulder subluxation with vertical distance (VD) were more than 12.4cm on plain anteroposteiorview. And then shoulder subluxation was analyzed with associated factors. Results: Of 154 stroke patients, this retrospective study included 109 patients who met the inclusioncriteria, 28 patients had shoulder subluxation. After univariated analysis, shoulder subluxation wassignificantly associated with motor power of shoulder and elbow, loss of proprioception, stroke durationand functional ability. Especially elbow extensor less than poor grade is mostly related to shouldersubluxation among the motor powers. Then multivariated analysis was carried out including all significantsubjects, elbow extensor less than poor grade, loss of proprioception and stroke duration more than 6months were related to shoulder subluxation. Conclusions: Post stroke shoulder subluxation was commonly observed, and the incidence was 25.6% inthis study. Shoulder subluxation was correlated with muscle power of elbow(less than F grade), loss ofproprioception and stroke duration more than 6 months KCI Citation Count: 0