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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 835 - 844 (10page)
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초록· 키워드
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Objective To evaluate the efficacy of intra-articular hyaluronic acid (IAHA) injection for hemiplegic shoulder pain (HSP) after stroke.Methods Thirty-one patients with HSP and limited range of motion (ROM) without spasticity of upper extremity were recruited. All subjects were randomly allocated to group A (n=15) for three weekly IAHA injection or group B (n=16) for a single intra-articular steroid (IAS) injection. All injections were administered by an expert physician until the 8th week using a posterior ultrasonography-guided approach. Shoulder joint pain was measured using the Wong-Baker Scale (WBS), while passive ROM was measured in the supine position by an expert physician.Results There were no significant intergroup differences in WBS or ROM at the 8th week. Improvements in forward flexion and external rotation were observed from the 4th week in the IAHA group and the 8th week in the IAS group. Subjects experienced a statistically significant improvement in pain from the 1st week in the IAS and from the 8th week in IAHA group, respectively.Conclusion IAHA seems to have a less potent ability to reduce movement pain compared to steroid in the early period. However, there was no statistically significant intergroup difference in WBS and ROM improvements at the 8th week. IAHA might be a good alternative to steroid for managing HSP when the use of steroid is limited.
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등록된 정보가 없습니다.
참고문헌 (35)
참고문헌 신청
Griffin JW / 1986 / Hemiplegic shoulder pain / Phys Ther 66:1884~1893
Jensen EM / 1980 / The hemiplegic shoulder / Scand J Rehabil Med Suppl 7:113~119
Zhu Y / 2013 / Pain management of hemiplegic shoulder pain post stroke in patients from Nanjing, China / Neural Regen Res 8:2389~2398
Vuagnat H / 2003 / Shoulder pain in hemiplegia revisited: contribution of functional electrical stimulation and other therapies / J Rehabil Med 35:49~54
Pong YP / 2009 / Sonography of the shoulder in hemiplegic patients undergoing rehabilitation after a recent stroke / J Clin Ultrasound 37:199~205
Jensen EM / 1980 / The hemiplegic shoulder / Scand J Rehabil Med Suppl 7:113~119
Zhu Y / 2013 / Pain management of hemiplegic shoulder pain post stroke in patients from Nanjing, China / Neural Regen Res 8:2389~2398
Vuagnat H / 2003 / Shoulder pain in hemiplegia revisited: contribution of functional electrical stimulation and other therapies / J Rehabil Med 35:49~54
Pong YP / 2009 / Sonography of the shoulder in hemiplegic patients undergoing rehabilitation after a recent stroke / J Clin Ultrasound 37:199~205
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