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Journal of the Korean Academy of Rehabilitation Medicine 1993;17(1):81-85.
The incidence and management of cervical radiculopathy in patients with shoulder pain.
Moon, Jae Ho , Lee, Ju Kang , Ahn, Bang Hwan , Park, Jun Soo
Department of Rehabilitation Medicine, Yonsei University College of Medicine
견부통환자에서의 경추부 신경근병변의 빈도 및 치료에 대한 고찰
문재호, 이주강, 안방환, 박준수
연세대학교 의과대학 재활의학교실
Abstract

The purpose of this study was to identify the correlation of shoulder pain to cervical pathology and effectiveness of cervical treatment on the neck and shoulder.

Response to a multidisciplinary rehabilitation program focused on the cervical radiculopathy and shoulder pain was excellent.

Thirty patient complaining of shoulder pain only without neck pain were evaluated by physical examination, cervical X-rays and electrodiagnostic study.

The results were as follows:

1) Twenty four cases were abnormal in plain cervical spine x-ray with straightening of cervical lordotic curve in 15 cases, cervical spondylosis in 13 cases, and disc space narrowing in 5 cases.

2) Cervical radiculopathies were diagnosed 24 cases which showed abnormal spontaneous activities in needle EMG:13 cases in paraspinal muscles and 11 cases in both paraspinal and upper extremity muscles.

3) The results of treatment were excellent in 6 cases and good in 18 cases.

Therefore patients complaining of shoulder pain should be examined their neck with various laboratory study.

Key Words: Shoulder pain, Electromyography, Cervical radiculopathy


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