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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Sonography of the shoulder in hemiplegic patients undergoing rehabilitation after a recent stroke.
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Sonography of the shoulder in hemiplegic patients undergoing rehabilitation after a recent stroke.

机译：近期中风后接受康复治疗的偏瘫患者的肩部超声检查。

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PURPOSE: To examine the hemiplegic shoulders for soft-tissue injury by musculoskeletal sonography and to determine the relationship between the motor functions of the upper extremity and these injuries, which play an important role in hemiplegic shoulder pain and may impede rehabilitation. METHODS: The following characteristics of 34 acute stroke patients were recorded: age, gender, height, body weight, side of hemiplegia, type and duration of stroke, Brunnstrom stage, subluxation, and degree of spasticity of the upper extremity. On the basis of the Brunnstrom stage, the patients were divided into 2 groups. Patients with stages I, II, or III were categorized under the lower Brunnstrom stage (LBS) group (n = 21), and those with stages IV, V, or VI were allocated to the higher Brunnstrom stage (HBS) group (n = 13). Both shoulders of each patient were examined by musculoskeletal sonography with a 5-10-MHz linear transducer on 2 separate occasions (i.e., at admission and 2 weeks after rehabilitation). RESULTS: With the exception of age, there were no significant differences in the demographic and clinical characteristics of the patients in the 2 groups. Shoulder musculoskeletal sonography revealed soft-tissue injury in 7 patients (33%) and 15 patients (71%) in the LBS group at admission and 2 weeks after rehabilitation, respectively (p < 0.05), and in 4 patients (31%) in the HBS group both at admission and 2 weeks after rehabilitation. CONCLUSIONS: Acute stroke patients with poor upper limb motor functions are more prone to soft-tissue injury of the shoulder during rehabilitation.
机译：目的：通过肌肉骨骼超声检查偏瘫肩膀是否软组织损伤，并确定上肢运动功能与这些损伤之间的关系，这些运动在偏瘫肩膀疼痛中起重要作用，并可能阻碍康复。方法：记录了34例急性中风患者的以下特征：年龄，性别，身高，体重，偏瘫侧，中风类型和持续时间，Brunnstrom分期，半脱位和上肢痉挛程度。根据Brunnstrom分期，将患者分为2组。患有I，II或III期的患者被归入Brunnstrom较低阶段（LBS）组（n = 21），具有IV，V或VI期的患者被分配至Brunnstrom较高阶段（HBS）组（n = 13）。在2次不同的情况下（即入院时和康复后2周）用5-10-MHz线性换能器通过肌肉骨骼超声检查每位患者的双肩。结果：除年龄外，两组患者的人口统计学和临床​​特征无明显差异。 LBS组入院时和康复后2周分别有7例（33％）和15例（71％）的肩部肌肉骨骼超声检查显示软组织损伤（p <0.05），而4例（31％） HBS组入院时和康复后2周。结论：上肢运动功能较差的急性中风患者在康复期间更容易发生肩部软组织损伤。

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