보행 가능한 편마비 환자에서 편측 및 건측 하지 발목 관절의 인대와 힘줄의 초음파 비교

• 영문명: The Comparison of Sonographic Features of Ankle Ligament and Tendon in Affected Side With Non-Affected Side Ambulatory of Hemiplegic Patients
• 발행기관: 한국전문물리치료학회
• 저자명: 박지웅(Ji-woong Park) 안재기(Jae-ki An) 박용범(Yong-bum Park) 배원식(Won-sik Bae)
• 간행물 정보: 『한국전문물리치료학회지』한국전문물리치료학회지 제17권 제2호, 60~66쪽, 전체 7쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2010.05.30

영문 초록

In chronic ambulatory hemiplegic patients, structural changes might be developed at both ankles possibly due to unequal and repetitive weight bearing on tendons and ligaments. We examined ankles by sonography to find out structural changes of tendons and ligaments of both ankles in ambulatory hemiplegic patients. Nineteen ambulatory hemiplegic patients over 1 year were included as study subjects. All subjects had no previous trauma or disease history in their ankle joints and they were able to walk independently or with supervision but had spastic ankles with equinovarus tendency. We examined both ankle joints by sonography to see joint effusion and measure width, thickness, and area of tendons of the tibialis anterior, tibialis posterior, and Achilles, and also ligaments of the anterior talofibular and calcaneofibular. We compared sonographic features of the hemi-side ankle with the sound-side ankle. There were no significant differences between hemi-side and sound-side ankles in almost all measured parameters of tendons and ligaments. However, the width of the hemi-side tibialis posterior tendon (7.24±1.52 mm) was narrower than the sound-side tendon(8.61±1.37 mm). With the amount of active joint motion and weight bearing possibly preventing ligament and tendon atrophy even though marked weakness, spasticity occurred during the chronic hemiplegic phase.

목차

I. 서론

II. 연구방법

III. 결과

IV. 고찰

키워드

Hemipleic Ligament Sonography Tendon