Two Different Types of Extension Arm Sling to Compare the Reduction of Shoulder Subluxation in Hemiplegic Patients.

, Park, Joo Hyun; , Park, Geun Young; , Whang, In Sik; , Sung, Jin Young

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2004;28(1):26-30.

Park, Joo Hyun , Park, Geun Young , Whang, In Sik , Sung, Jin Young

Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea. pizzapmr@hanmail.net

편마비 환자의 견관절 아탈구에 대한 두 신전형 팔걸이의 효과 비교

박주현, 박근영, 황인식, 성진영

가톨릭대학교 의과대학 재활의학교실

Abstract

Objective
The purpose of this study was to compare the reduction of shoulder subluxation radiologically using two types of extension arm sling.
Method
Fifteen patients with a hemiplegic shoulder subluxation were studied. Two types of extension sling (forearm cuff type and humeral cuff type) were applied for the shoulder subluxation. On the shoulder X-ray, three parameters were measured: vertical distance (VD), horizontal distance (HD), and joint distance (JD).
Results
The mean values of the VD, HD, and JD of hemiplegic shoulder without a sling were 2.00⁑0.69 cm, 2.69⁑0.45 cm, and 1.53⁑0.56 cm, respectively, which were reduced to 1.00⁑0.43 cm, 2.61⁑0.46 cm, and 0.80⁑0.37 cm by a forearm cuff type and to 1.80⁑0.83 cm, 2.60⁑0.45 cm, and 1.33⁑0.66 cm by a humeral cuff type. A forearm cuff type showed corrective effect in VD and JD, but a humeral cuff type did not in any of three parameters. When compared with nonhemiplegic side, there was no significant difference in VD and JD with a forearm cuff. But a humeral cuff showed significant difference in all parameters. So a forearm cuff type showed corrective effect this time.
Conclusion
A forearm cuff type extension arm sling was a more effective orthosis for the reduction of the hemiplegic shoulder subluxation than a humeral cuff type extension arm sling. (J Korean Acad Rehab Med 2004; 28: 26-30)

Key Words: Hemiplegia, Shoulder subluxation, Extension arm sling