Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
권호 표지

The Comparison of Sonographic Features of Ankle Ligament and Tendon in Affected Side With Non-Affected Side Ambulatory of Hemiplegic Patients

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

  • Park, Ji-Woong (Dept. of Physical Medicine and Rehabilitation, College of Medicine, Soonchunhyang University) ;
  • An, Jae-Ki (Dept. of Physical Medicine and Rehabilitation, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Park, Yong-Bum (Dept. of Physical Medicine and Rehabilitation, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Bae, Won-Sik (Dept. of Physical Medicine and Rehabilitation, Sanggye Paik Hospital, College of Medicine, Inje University)
  • 박지웅 (순천향대학교 의과대학 재활의학과) ;
  • 안재기 (인제대학교 의과대학 상계백병원 재활의학과) ;
  • 박용범 (인제대학교 의과대학 상계백병원 재활의학과) ;
  • 배원식 (인제대학교 의과대학 상계백병원 재활의학과)
  • Received : 2010.04.12
  • Accepted : 2010.05.07
  • Published : 2010.05.21
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Abstract

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 ($7.24{\pm}1.52$ mm) was narrower than the sound-side tendon ($8.61{\pm}1.37$ 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.

Keywords

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