Nannetti L, Paci M, Taiti P G
Reparto di Medicina Fisica e Riabilitazione, Ospedale di Prato, Prato, Italia.
Clin Ter. 2007 Jan-Feb;158(1):7-10.
The aim of this pilot study is to compare the effects of a new sling, a special type of strapping and their association to treat shoulder subluxation.
The effectiveness of a modified version of a sling, a special type of strapping and their association to treat shoulder subluxation has been compared in three hemiplegic patients. Shoulder subluxation has been diagnosed by palpation, then assessed by radiographic measurements in sitting position with the plane of the scapula method (at 30 degrees to the coronal plane). The distance between the inferior acromial surface and the horizontal line crossing through the central point of the humeral head (in millimeters) has been taken as measurement of subluxation.
All the patients showed a reduction of the acromial-humeral distance when the sling was applied with strapping. When sling or strapping alone was applied, a slight difference was measured in each patient.
The association of sling and strapping seems to be an effective strategy to treat shoulder subluxation in hemiplegic patients in sub-acute stage. The tools described in the paper give a better cost/benefit ratio in comparison with others described in literature and widely used in clinical practice. Hawever, further investigations are necessary to confirm these results.
本初步研究旨在比较一种新型吊带、一种特殊类型的绑扎带及其联合使用对治疗肩关节半脱位的效果。
在三名偏瘫患者中比较了一种改良版吊带、一种特殊类型的绑扎带及其联合使用对治疗肩关节半脱位的有效性。通过触诊诊断肩关节半脱位，然后采用肩胛骨平面法（与冠状面成30度）在坐位进行X线测量评估。肩峰下表面与穿过肱骨头中心点的水平线之间的距离（以毫米为单位）作为半脱位的测量值。
当吊带与绑扎带联合使用时，所有患者的肩肱距离均减小。单独使用吊带或绑扎带时，每名患者的测量值有轻微差异。
吊带与绑扎带联合使用似乎是治疗亚急性期偏瘫患者肩关节半脱位的有效策略。与文献中描述的并在临床实践中广泛使用的其他方法相比，本文所述工具具有更好的成本效益比。然而，需要进一步研究以证实这些结果。
