J Korean Acad Rehabil Med.  2003 Dec;27(6):819-823.

Assessment of Shoulder Subluxation Using the Lateral Scapular Slide Test in Hemiplegic Patients

• Yoon YS
• Jung SS
• Lee KA
• Kim JH
• Lim JT

Abstract

OBJECTIVE
This study was designed to investigate the correlation between the lateral scapular slide test (LSST) and shoulder subluxation, scapular position, pain on movement, Brunnstrom stage in hemiplegic patients. METHOD: 20 hemiplegic patients (right: 10, left: 10) were evaluated LSST in resting position at three different points (T2-Superior Angle, T3-Scapular Spine, T7-Inferior Angle) in three times of the both shoulder. Muscle power of shoulder, Brunnstrom stages, spasticity, subluxation degrees using X-ray studies and ROM pain degrees using Visual Analog Scale (VAS) were also evaluated to examine the clinical correlation RESULTS: This study showed the evidence of positive correlation with LSST and shoulder subluxation, ROM pain degrees using VAS at T7-inferior angle (p<0.05), and negative correlations with LSST with shoulder abduction muscle power and Brunnstrom stage. But, there were no correlations with shoulder spasticity and hemiplegic side. CONCLUSION: This study provided LSST can be a useful predictor of shoulder subluxation and it supposed that the glenoid fossa on the affected side was upward rotated compared to the unaffected side.

Keyword

Lateral scapular slide test; Shoulder subluxation; Hemiplegia; Scapular position

MeSH Terms

Hemiplegia
Humans
Muscle Spasticity
Shoulder*
Spine
Visual Analog Scale