Post Stroke-A Cohort Multicenter Study

อยากบอกว่า  โรคหลอดเลือดสมอง หรือ stroke  เป็นโรคที่ยอดนิยมที่สมกับที่กรมการแพทย์ให้ความสนใจจริง  เพียงแค่สัปดาห์เดียวมีวารสารเกี่ยวกับ stroke เข้ามาไม่ขาดสาย

วันนี้ก็มีตีพิมพ์อีก  1 เรื่อง  จาก   j. Med Assoc Thai.  vol.91, no.12, 2008. p.1885-93.

Title  :  Post  Stroke Shoulder Subluxation and Shoulder Pain : A Cohort Multicenter Study.

Author : Sumalee Suethanapornkul, Patcharawoimol Srisa-an Kuptniratsaikul, Vilai Kuptniratsaikul, Pimwipa Uthensut.

ดาวน์โหลดบทความฉบับเต็มได้ที่

strok-shoulder vol 91_no12_1885_6106

ดาวน์โหลดบทความฉบับเต็มเรื่องอื่นได้ที่

http://www.mat.or.th/journal/index.php?command=topic&selvol=91&selno=12

ชมวิดิโอ

จากฐานข้อมูลออนไลน์  http://www.mdconsult.com

1 Shoulder Subluxation

From:  Frontera: Essentials of Physical Medicine and Rehabilitation, 2nd ed.; Chapter 149 – Stroke > … > Rehabilitation
Shoulder SubluxationShoulder subluxation commonly occurs in the setting of hemiplegia after stroke, although the presence of pain is highly variable. Arm boards and the selective use of slings help in reducing subluxation. Electrical stimulation may have a beneficial effect as well.17
2 Rehabilitation of the Stroke Patient

From:  Rakel & Bope: Conn’s Current Therapy 2008, 60th ed.; Chapter 227 – Rehabilitation of the Stroke Patient
…first 3 months after stroke. Stroke survivors often require bladder…dysfunction is common after stroke because of physical inactivity…patients have diarrhea after stroke because of antibiotic side…by contracture, glenohumeral subluxation, rotator cuff disease, or bicipital…
3 SYMPTOMS

From:  Frontera: Essentials of Physical Medicine and Rehabilitation, 2nd ed.; Chapter 149 – Stroke
…common presenting symptoms of stroke, and deficits in these areas…that may be manifested after a stroke has already occurred. Reflex…syndrome type I) may occur after stroke, although most post-stroke…from mechanical (e.g., joint subluxation) or central (e.g., thalamic…
4 Down’s Syndrome

From:  DeLee: DeLee and Drez’s Orthopaedic Sports Medicine, 2nd ed.; Chapter 17 – Special Considerations in the Pediatric and Adolescent Athlete > … > Participation Guidelines Based on Disabilities
…of symptoms. Atlantoaxial subluxation is potentially the most devastating…is approximately 15%. The subluxation is due to laxity of the annular…diving, pentathlon, butterfly stroke in swimming, diving start…symptoms develop. Atlantoaxial subluxation is screened by lateral cervical…
5 Procedure for Multidirectional Instability

From:  Canale & Beaty: Campbell’s Operative Orthopaedics, 11th ed.; Chapter 45 – Recurrent Dislocations > … > Surgical Treatment
…instability in 1980. It describes glenohumeral subluxation or dislocation in multiple directions. The primary abnormality…and to act as a sling against inferior subluxation. • Hold the arm in slight flexion and about…swimming with the backstroke or butterfly stroke, heavy overhead use of the involved arm…
6 DEFINITIONS

From:  Frontera: Essentials of Physical Medicine and Rehabilitation, 2nd ed.; Chapter 13 – Glenohumeral Instability
…instability represents a spectrum of disorders ranging from shoulder subluxation, in which the humeral head partially slips out of the glenoid…own dislocations.Patients with neurologic problems such as stroke, brachial plexus injury, and poliomyelitis may present with…
7 Associated Soft-Tissue Injury

From:  Canale & Beaty: Campbell’s Operative Orthopaedics, 11th ed.; Chapter 35 – Fractures, Dislocations, and Fracture-Dislocations of the Spine >> EVALUATION OF SPINAL INJURY
…associated with a small but potentially devastating risk of stroke or death. After institution of an aggressive screening program…blunt cerebrovascular injury should decrease the incidence of stroke. Our present protocols require a four-vessel angiogram for patients…
8 PHYSICAL EXAMINATION

From:  Frontera: Essentials of Physical Medicine and Rehabilitation, 2nd ed.; Chapter 142 – Rheumatoid Arthritis
…inflammation may lead to subluxation of the metacarpophalangeal…rheumatoid arthritis. Subluxation results from synovitis and weakening…clinician makes an upward stroke to depress the medial synovial pouch. A downward stroke on the lateral aspect…
9 KNEE

From:  Firestein: Kelley’s Textbook of Rheumatology, 8th ed.; Chapter 35 – History and Physical Examination of the Musculoskeletal System >> EXAMINATION OF SPECIFIC JOINTS
…The patella also can be examined for subluxation while the knee is moved through a range…of rheumatoid arthritis, a posterior subluxation of the tibia on the femur may be observed…anterior cruciate tear or laxity. Anterior subluxation may represent more complex instability…
10 Impingement Syndrome.

From:  DeLee: DeLee and Drez’s Orthopaedic Sports Medicine, 2nd ed.; Chapter 21 – Shoulder > … > Swimming
…at the beginning of the pull-through phase of the swimming stroke (Fig. 21M2-8A). In the backstroke, the greatest stress is…stretch the capsule to the point at which they develop anterior subluxation.43 Figure 21M2-8 Swimmer’s shoulder. A, During the beginning…
11 CLINICAL SIGNIFICANCE

From:  Firestein: Kelley’s Textbook of Rheumatology, 8th ed.; Chapter 26 – Neurologic Regulation of Inflammation
…was nearly complete reversal of the arthritic changes after stroke on the affected side. These reports include radiologic evidence…patients’ unaffected side, including gross osteoporosis, gross subluxation, typical massive rheumatoid erosions, and absorption and loss…
12 Cerebral Palsy

From:  Canale & Beaty: Campbell’s Operative Orthopaedics, 11th ed.; Chapter 30 – Cerebral Palsy
…Hip 1346 Flexion deformities 1347 Adduction deformities 1348 Subluxation and dislocation 1351 Varus derotational osteotomy 1353 Knee…wrist, and hand 1383 Adults with cerebral palsy 1383 Adult stroke patients 1384 Lower extremity 1384 Hip 1385 Knee 1385 Foot…
13 Classification

From:  Canale & Beaty: Campbell’s Operative Orthopaedics, 11th ed.; Chapter 45 – Recurrent Dislocations >> SHOULDER
…insufficiency. The degree of instability is categorized as subluxation with partial separation of the humeral head from the glenoid…and swimmers especially with the backstroke or butterfly stroke. The flexibility that allows an athlete to compete at a high…
14 TENNIS.

From:  Kliegman: Nelson Textbook of Pediatrics, 18th ed.; Chapter 691 – Specific Sports and Associated Injuries
…epicondyle.Rotator cuff tendonitis is caused by repetitive overuse and may be related to anteroposterior glenohumeral instability. Subluxation of the glenohumeral joint may also be present. Biceps tendonitis can present as anterior shoulder pain.Tennis elbow, or lateral…
15 Dystonia

From:  Duthie: Practice of Geriatrics, 4th ed.; Chapter 30 – Movement disorders >> Hyperkinetic movement disorders
…Focal lesions of the brainstem, basal ganglia, or thalamus Stroke, vascular malformation, vasculopathy (systemic lupus erythematosus…syringomyelia Other organic disorders mimicking dystonia Subluxation of the atlantoaxial joint, lax spinal ligaments, myopathy…



One thought on “Post Stroke-A Cohort Multicenter Study

ใส่ความเห็น

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / เปลี่ยนแปลง )

Twitter picture

You are commenting using your Twitter account. Log Out / เปลี่ยนแปลง )

Facebook photo

You are commenting using your Facebook account. Log Out / เปลี่ยนแปลง )

Google+ photo

You are commenting using your Google+ account. Log Out / เปลี่ยนแปลง )

Connecting to %s