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Journal of the Korean Academy of Rehabilitation Medicine 2004;28(5):494-500.
The Effect of Modified Triangular Bobath Slings on Shoulder Subluxation in Stroke Patients.
Yoon, Yong Soon , Kim, Je Hwan , Lee, Kyung Ah , Lim, Jin Taek , Ohm, Bo Young , Chang, In Su , Lim, Ho Yong , Chung, Bok Hee
Department of Physical Medicine and Rehabilitation, Presbyterian Medical Center, Korea. jehwan0404@hanmail.net
뇌졸중 환자의 견관절 아탈구에 대한 변형삼각형 보바스 팔걸이의 영향
윤용순, 김제환, 이경아, 임진택, 엄보영, 장인수, 임호용, 정복희
전주예수병원 재활의학과
Abstract
Objective
To introduce a Modified triangular Bobath sling (MTBS) and a MTBS with distal support (MTBSDS) as a new slings and to compare with previous slings in the therapeutic effects of shoulder subluxation in stroke patient.
Method
Using a simple X-ray with and without slings, the vertical and horizontal distances were measured for 17 stroke patients. MTBS and MTBSDS were compared with 3 conventional slings, which were hemisling, Bobath sling and Extension-type sling, in the effects of correction. The questionaire was used to evaluate preference of patients.
Results
In two developed slings, inferior subluxation showed significant correction and lateral displace was lessincreased than a Bobath sling although it was not statistically significant (p<0.05). MTBS had the preference during non-walking because of comfort and easiness for donning and doffing, whereas MTBSDS had the preference during walking because of reciprocal arm swing and protecting the hemiplegic upper extremity from trauma.
Conclusion
The results indicated MTBS and MTBSDS were more effective on shoulder subluxation in stroke patients. Further study on the development of slings for decrement of lateral displacement is recommended. (J Korean Acad Rehab Med 2004; 28: 494-500)
Key Words: Shoulder subluxation, Modified triangular Bobath sling


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