Van Langenberghe H V, Hogan B M
Physiology Department, King's College, London, UK.
Scand J Rehabil Med. 1988;20(4):161-6.
Forty-eight stroke patients with shoulder pain were assessed for degree of pain at rest and on movement of the affected arm, and presence and grade of subluxation. Degree of pain was assessed using a 6-point verbal rating scale. Presence and grade of subluxation were assessed from radiographs, using a 5-point categorization. Four radiographs were excluded. Subluxation was found in 24 (54.5%) of the remaining 44 radiographs. No statistically significant difference was found in degree of pain between patients with and without subluxation. In addition, no correlation was found between grade of subluxation and degree of pain. It is suggested that the role of subluxation in the production of pain may not be as important as often believed.
对48例患有肩部疼痛的中风患者进行了评估，以确定其患侧手臂在休息和活动时的疼痛程度，以及半脱位的存在情况和分级。疼痛程度采用6分语言评定量表进行评估。半脱位的存在情况和分级通过X光片进行评估，采用5级分类法。排除了4张X光片。在其余44张X光片中，有24张（54.5%）发现有半脱位。有半脱位和无半脱位的患者在疼痛程度上未发现统计学上的显著差异。此外，半脱位分级与疼痛程度之间未发现相关性。提示半脱位在疼痛产生中的作用可能不像通常认为的那么重要。
