대한재활의학회지：제 31 권 제 1 호 2007
충남대학교 의과대학 재활의학교실
손민균·조강희·윤상진·이태성·이광재
Effects of Functional Magnetic Stimulation on Hemiplegic Shoulder Subluxation
Min Kyun Sohn, M.D., Ph.D., Kang Hee Cho, M.D., Ph.D., Sang Jin Yoon, M.D., Tae Sung Lee, M.D. and Kwang Jae Lee,
M.D.
Department of Rehabilitation Medicine, Chungnam National University College of Medicine
Objective: To evaluate the effects of functional magnetic stimulation (FMS) on shoulder subluxation following hemiplegia due to stroke or traumatic brain injury.
Method: Twenty-four hemiplegic patients were participated in this study as FMS group (12 subjects) and FES (functional electric stimulation) group (12 subjects). FMS or FES were applied on the supraspinatus and posterior deltoid muscle area for 20 minutes, 5 days a week for 3 weeks. The effect of treatment was evaluated by assessment of the degree of shoulder subluxation using radiologic measurements, pain threshold and pain tolerance pressure, range of motion of the shoulder, muscle power and spasticity.
Results: The degree of shoulder subluxation was significantly decreased after 3 weeks in both groups, and the FMS group improved more than the FES group. However there were no differences between two groups significantly. There was no significant effect of disease duration on change of shoulder subluxation. The ranges of motion of shoulder were increased in FMS group significantly. Pain threshold and pain tolerance pressure were increased in pectoralis major and infraspinatus muscles shortly after FMS application. Conclusion: This study suggests that the FMS could be applied effectively in preventing and reducing the shoulder subluxation in patient with hemplegia irrespective of disease duration.
(J Korean Acad Rehab Med 2007; 31: 48-55)
Key Words: Hemiplegic shoulder subluxation, Functional magnetic stimulation
접수일: 2006년 8월 7일, 게재승인일: 2007년 1월 2일
교신저자: 이광재, 대전광역시 중구 문화동 6
. 305-764, 충남대학교 의과대학 재활의학교실
