Özet:

Purpose: The purpose of this study is to evaluate the relationship of glenohumeral subluxation with clinical variables in post-infarct hemiplegic patients. The aim of the hypothesis is to evaluate the hypothesis "subluction of the shoulder in hemiplegic patients; is associated with spastitis, motor healing and ambulatory condition." Methods: From patients diagnosed with post-inflammatory hemiplegy, those who were taken anteroposterior shoulder radiography due to shoulder pain were included in the study. This retrospective study recorded demographic characteristics (age, gender), disease times, functional ambulance scales (FAS), Brunnstrom engine healing levels for the upper end and spastity stages according to the Modified Ashworth Scale (MAS) from the patient’s electronic database and data in their files. The clinical GHS diagnosis was not received from the test data. In patients diagnosed with GHS, vertical and horizontal distances were measured in anteroposterior shoulder radiographs, which were taken simultaneously with their examinations. The relationship between clinical variables and GHS was assessed. The findings: anteroposterior shoulder graph was drawn due to shoulder pain, a total of 47 hemiplegic patients were reached to the system data. After the excretion criteria, 41 patients with an average age of 66.2±12.1 years were included in the statistical analysis. In 22 patients (53.7%) there was GHS. The subluxation rate in Brunnstrom category I (Brunnstrom 1-3) was significantly higher than in patients in category II (Brunnstrom 4-6) (p<0,05). When patients were categorized into two groups according to the level of spasticity [category I (MAS 0-2) and category II (MAS 3-4)], there was no difference in subluxation between the two groups (p>0,05). In patients with non-functional (FAS 0-2) and functional (FAS 3-5) ambulance, subluxation rates were similar (p>0,05). In patients with GHS, vertical and horizontal distances did not vary according to the FAS and MAS categories (p>0,05), comparative analysis was not carried out in Brunnstrom category II, as the number of patients was not achieved enough for statistical analysis. The result: in post-inflammatory hemiplegic patients, the presence of GHS is independent of the level of ambulance and spasticity, although it is related to the level of motor healing. In patients with subluxation, the level of ambulance and spasticity has not been shown to have an impact on quantitative measurements of subluxation.