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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(6):819-823.
Assessment of Shoulder Subluxation Using the Lateral Scapular Slide Test in Hemiplegic Patients.
Yoon, Yong Soon , Jung, Seung Suk , Lee, Kyung Ah , Kim, Je Hwan , Lim, Jin Taek
Department of Physical Medicine and Rehabilitation, Presbyterian Medical Center, Korea. css1357@hanmil.net
편마비 환자에서 견관절 아탈구에 대한 견갑골 측방 주행 검사의 적용
윤용순, 정승석, 이경아, 김제환, 임진택
전주 예수병원 재활의학과
This study was designed to investigate the correlation between the lateral scapular slide test (LSST) and shoulder subluxation, scapular position, pain on movement, Brunnstrom stage in hemiplegic patients.

20 hemiplegic patients (right: 10, left: 10) were evaluated LSST in resting position at three different points (T2-Superior Angle, T3-Scapular Spine, T7-Inferior Angle) in three times of the both shoulder. Muscle power of shoulder, Brunnstrom stages, spasticity, subluxation degrees using X-ray studies and ROM pain degrees using Visual Analog Scale (VAS) were also evaluated to examine the clinical correlation.

This study showed the evidence of positive correlation with LSST and shoulder subluxation, ROM pain degrees using VAS at T7-inferior angle (p<0.05), and negative correlations with LSST with shoulder abduction muscle power and Brunnstrom stage. But, there were no correlations with shoulder spasticity and hemiplegic side.

This study provided LSST can be a useful predictor of shoulder subluxation and it supposed that the glenoid fossa on the affected side was upward rotated compared to the unaffected side. (J Korean Acad Rehab Med 2003; 27: 819-823)

Key Words: Lateral scapular slide test, Shoulder subluxation, Hemiplegia, Scapular position


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