Rajaram V, Holtz M
Arch Phys Med Rehabil. 1985 Mar;66(3):191-2.
Subluxation of the shoulder is a common problem in patients who have had a stroke. Of the shoulder supports that are being used, many do not reduce the subluxation, and patients continue to complain of shoulder pain. The shoulder support designed for this study reduces subluxation, is custom fit, costs less, and is more comfortable than conventional slings. The sling is difficult to don but patients are able to perform self-ROM exercises without removing the sling. The sling consists of two parts: a shoulder support and forearm support. Both portions are worn when the patient is ambulating or standing. Only the shoulder support is worn when the patient is sitting with a lapboard. X-rays confirmed the reduction of subluxation, and patients reported decreased shoulder pain.
肩关节半脱位是中风患者的常见问题。在目前使用的肩部支撑器具中,许多并不能减轻半脱位情况,患者仍持续抱怨肩部疼痛。本研究设计的肩部支撑器具可减轻半脱位,量身定制,成本较低,且比传统吊带更舒适。该吊带穿戴困难,但患者无需取下吊带就能进行自主关节活动度练习。吊带由两部分组成:肩部支撑部分和前臂支撑部分。患者行走或站立时需同时佩戴这两部分。患者使用膝板坐着时,仅需佩戴肩部支撑部分。X射线证实半脱位情况有所减轻,患者报告肩部疼痛也有所减轻。