Shoulder complex position in hemiplegia
Autor(a) principal: | |
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Data de Publicação: | 1996 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Fisioterapia e Pesquisa |
Texto Completo: | https://www.revistas.usp.br/fpusp/article/view/75510 |
Resumo: | Clinical observations indicate that the resting position of the scapula and humerus are altered in both the flaccid and spastic stage of recovery following Cerebrovascular Accident contributing to upper extremity pain and dysfunction. The purpose of this study was to compare scapular and humeral position between the affected and non-affected side in two groups of hemiplegic subjects, one with low tone or flaccid paralysis and the other with high tone or spasticity. Thirty-four hemiplegic subjects (17 in each group), participated in this study, ranging in age from 41 to 89 years. The 3Space Isotrak, an electromagnetic device, was used to obtain the tridimensional coordinates of bony landmarks located on the scapula, humerus and vertebral column. Data were collected with subjects seated on a stool with arms relaxed by the side. Linear and angular measures of scapular and humeral orientation were calculated from the co-ordinates. In the low tone group, scapular abduction angle (AbSc) was significantly lower on the affected side compared to the non-affected side. The scapula was further from the midline and lower on the thorax. No significant difference was found in the abduction angle of the humerus (AbH) or in the humeral angle relative to the scapula (HRel). No significant differences were found between the affected and non-affected sides in either the angular or linear measures of scapular and humeral orientation in the high tone group. |
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Shoulder complex position in hemiplegiaO complexo articular do ombro na hemiplegiaHemiplegiatherapyShoulder dislocationPhysical therapyCerebrovascular disordersHemiplegiaterapiaLuxação do ombroTranstornos cerebrovascularesFisioterapiaClinical observations indicate that the resting position of the scapula and humerus are altered in both the flaccid and spastic stage of recovery following Cerebrovascular Accident contributing to upper extremity pain and dysfunction. The purpose of this study was to compare scapular and humeral position between the affected and non-affected side in two groups of hemiplegic subjects, one with low tone or flaccid paralysis and the other with high tone or spasticity. Thirty-four hemiplegic subjects (17 in each group), participated in this study, ranging in age from 41 to 89 years. The 3Space Isotrak, an electromagnetic device, was used to obtain the tridimensional coordinates of bony landmarks located on the scapula, humerus and vertebral column. Data were collected with subjects seated on a stool with arms relaxed by the side. Linear and angular measures of scapular and humeral orientation were calculated from the co-ordinates. In the low tone group, scapular abduction angle (AbSc) was significantly lower on the affected side compared to the non-affected side. The scapula was further from the midline and lower on the thorax. No significant difference was found in the abduction angle of the humerus (AbH) or in the humeral angle relative to the scapula (HRel). No significant differences were found between the affected and non-affected sides in either the angular or linear measures of scapular and humeral orientation in the high tone group.Observações clínicas indicam que tanto na fase flácida quanto na fase espástica de um pós Acidente Vascular Cerebral (AVC), a posição de repouso da escapula e do úmero estão alteradas, possivelmente contribuindo para dor e mau alinhamento do membro superior. O objetivo deste estudo foi comparar a orientação escapular e umeral entre o lado afetado e o não afetado em dois grupos (flácido e espástico) de pacientes hemiplégicos. Trinta e quatro pacientes hemiplégicos (17 em cada grupo), idade média entre 41 e 89 anos, participaram deste estudo. O 3 Space Isotrak, um equipamento eletromagnético, foi usado na obtenção das coordenadas tridimensionais das proeminências ósseas localizadas na escapula, úmero e coluna vertebral. Os dados foram coletados com o paciente sentado num tamborete com os braços relaxados ao lado. Medidas lineares e angulares da orientação da escapula e do úmero foram calculadas através das coordenadas. No grupo flácido, o ângulo de abdução escapular (AbSc) foi significativamente mais baixo no lado afetado comparado com o lado não afetado. A escapula estava distante da linha média e baixa no tórax. Nenhuma diferença significativa foi encontrada entre o ângulo de abdução do úmero (AbH) e o ângulo de abdução do úmero relativo à escapula (HRel). Nenhuma diferença significativa foi encontrada entre os lados afetado e não afetado nos pacientes do grupo espástico, quando as medidas lineares e angulares de orientação da escapula e do úmero foram comparadas. Este estudo fornece pouca evidência de um padrão consistente na orientação esquelética da escapula e úmero, principalmente em pacientes com espasticidade.Universidade de São Paulo. Faculdade de Medicina1996-12-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/fpusp/article/view/7551010.1590/fpusp.v3i1.75510Fisioterapia e Pesquisa; Vol. 3 No. 1 (1996); 14-27Fisioterapia e Pesquisa; Vol. 3 Núm. 1 (1996); 14-27Fisioterapia e Pesquisa; v. 3 n. 1 (1996); 14-272316-91171809-2950reponame:Fisioterapia e Pesquisainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/fpusp/article/view/75510/79067Copyright (c) 2017 Fisioterapia e Pesquisainfo:eu-repo/semantics/openAccessNoce, Renata R.Culham, Elsie G.Bagg, Stephen D.2014-05-07T22:50:05Zoai:revistas.usp.br:article/75510Revistahttp://www.revistas.usp.br/fpuspPUBhttps://www.revistas.usp.br/fpusp/oai||revfisio@usp.br2316-91171809-2950opendoar:2014-05-07T22:50:05Fisioterapia e Pesquisa - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Shoulder complex position in hemiplegia O complexo articular do ombro na hemiplegia |
title |
Shoulder complex position in hemiplegia |
spellingShingle |
Shoulder complex position in hemiplegia Noce, Renata R. Hemiplegia therapy Shoulder dislocation Physical therapy Cerebrovascular disorders Hemiplegia terapia Luxação do ombro Transtornos cerebrovasculares Fisioterapia |
title_short |
Shoulder complex position in hemiplegia |
title_full |
Shoulder complex position in hemiplegia |
title_fullStr |
Shoulder complex position in hemiplegia |
title_full_unstemmed |
Shoulder complex position in hemiplegia |
title_sort |
Shoulder complex position in hemiplegia |
author |
Noce, Renata R. |
author_facet |
Noce, Renata R. Culham, Elsie G. Bagg, Stephen D. |
author_role |
author |
author2 |
Culham, Elsie G. Bagg, Stephen D. |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Noce, Renata R. Culham, Elsie G. Bagg, Stephen D. |
dc.subject.por.fl_str_mv |
Hemiplegia therapy Shoulder dislocation Physical therapy Cerebrovascular disorders Hemiplegia terapia Luxação do ombro Transtornos cerebrovasculares Fisioterapia |
topic |
Hemiplegia therapy Shoulder dislocation Physical therapy Cerebrovascular disorders Hemiplegia terapia Luxação do ombro Transtornos cerebrovasculares Fisioterapia |
description |
Clinical observations indicate that the resting position of the scapula and humerus are altered in both the flaccid and spastic stage of recovery following Cerebrovascular Accident contributing to upper extremity pain and dysfunction. The purpose of this study was to compare scapular and humeral position between the affected and non-affected side in two groups of hemiplegic subjects, one with low tone or flaccid paralysis and the other with high tone or spasticity. Thirty-four hemiplegic subjects (17 in each group), participated in this study, ranging in age from 41 to 89 years. The 3Space Isotrak, an electromagnetic device, was used to obtain the tridimensional coordinates of bony landmarks located on the scapula, humerus and vertebral column. Data were collected with subjects seated on a stool with arms relaxed by the side. Linear and angular measures of scapular and humeral orientation were calculated from the co-ordinates. In the low tone group, scapular abduction angle (AbSc) was significantly lower on the affected side compared to the non-affected side. The scapula was further from the midline and lower on the thorax. No significant difference was found in the abduction angle of the humerus (AbH) or in the humeral angle relative to the scapula (HRel). No significant differences were found between the affected and non-affected sides in either the angular or linear measures of scapular and humeral orientation in the high tone group. |
publishDate |
1996 |
dc.date.none.fl_str_mv |
1996-12-07 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/75510 10.1590/fpusp.v3i1.75510 |
url |
https://www.revistas.usp.br/fpusp/article/view/75510 |
identifier_str_mv |
10.1590/fpusp.v3i1.75510 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/75510/79067 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Fisioterapia e Pesquisa info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Fisioterapia e Pesquisa |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
dc.source.none.fl_str_mv |
Fisioterapia e Pesquisa; Vol. 3 No. 1 (1996); 14-27 Fisioterapia e Pesquisa; Vol. 3 Núm. 1 (1996); 14-27 Fisioterapia e Pesquisa; v. 3 n. 1 (1996); 14-27 2316-9117 1809-2950 reponame:Fisioterapia e Pesquisa instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Fisioterapia e Pesquisa |
collection |
Fisioterapia e Pesquisa |
repository.name.fl_str_mv |
Fisioterapia e Pesquisa - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||revfisio@usp.br |
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1787713734850904064 |