Bohannon R W, Larkin P A, Smith M B, Horton M G
Arch Phys Med Rehabil. 1986 Aug;67(8):514-6.
The incidence of shoulder pain and the statistical relationship between it and five other variables (patient age, time since onset of hemiplegia, range of hemiplegic shoulder external rotation, spasticity and weakness) were investigated retrospectively. Of 50 consecutive hemiplegic patients whose records were reviewed, 36 had shoulder pain. The variables significantly (p less than 0.01) correlated with shoulder pain were: time since onset of hemiplegia (r = 0.45) and ROSER (r = -0.61). The relationship between shoulder pain and range of shoulder motion remained significant when other factors were partialled out. The relationship between shoulder pain and time since onset was not significant when the affect of range of shoulder motion was partialled out. Therefore, range of shoulder external rotation was considered the factor related most significantly to shoulder pain. This finding suggests that shoulder pain demonstrated by hemiplegia patients may be, in part, a manifestation of adhesive capsulitis.
我们对偏瘫患者肩部疼痛的发生率及其与其他五个变量（患者年龄、偏瘫发病后的时间、偏瘫侧肩部外旋范围、痉挛和肌力减弱）之间的统计学关系进行了回顾性研究。在连续50例接受病历审查的偏瘫患者中，36例存在肩部疼痛。与肩部疼痛显著相关（p<0.01）的变量为：偏瘫发病后的时间（r=0.45）和肩部外旋范围（r=-0.61）。当排除其他因素时，肩部疼痛与肩部活动范围之间的关系仍然显著。当排除肩部活动范围的影响时，肩部疼痛与发病后时间之间的关系不显著。因此，肩部外旋范围被认为是与肩部疼痛最显著相关的因素。这一发现表明，偏瘫患者出现的肩部疼痛可能部分是粘连性关节囊炎的一种表现。
