뇌졸중 환자에서 견관절 아탈구의 발생 기전

초록

Primary impairments of Hemiplegic shoulder * Loss of central force production (central weakness) * Diminished neuromuscular control * Altered sensation * Abnormal muscle tone Secondary impairment of hemiplegic shoulder * muscle & soft tissue restriction * shoulder pain * glenohumeral joint subluxation Shoulder subluxation * definition : partial seperation of the humerus from the glenoid fossa * cause: unknown, but occurs when glenohumeral joint stability are disrupted * some debates about the main mechanisms of shoulder subluxation