The Post-Hemiplegic Shoulder-Hand Syndrome in Stroke Patients Homodynamics of Peripheral Circulatory System before and after Stellate Ganglion Block

Skin temperature (surface and muscle; biceps·brachioradialis the ring finger) and plethysmograph on the forefinger is recorded before and after stellate ganglion block in five stroke patients with post-hemiplegic shoulder-hand syndrome under the artificial weather room (temperature 30°C, humidity 60...

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Published inOrthopedics & Traumatology Vol. 35; no. 4; pp. 1476 - 1480
Main Authors Tanaka, Shoichi, Katakab, Yuzirou, Goshi, Katsuko, Ogata, Hajime
Format Journal Article
LanguageEnglish
Published West-Japanese Society of Orthopedics & Traumatology 25.04.1987
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Abstract Skin temperature (surface and muscle; biceps·brachioradialis the ring finger) and plethysmograph on the forefinger is recorded before and after stellate ganglion block in five stroke patients with post-hemiplegic shoulder-hand syndrome under the artificial weather room (temperature 30°C, humidity 60%). The results obtained can be summarized as follows, (1) plethysmographic pulse wave height of the affected finger is indefinite before and after stellate ganglion block. (2) skin temperature is not always elevated after the stellate ganglion block. Therefore it is suggested that there is abnormal peripheral hemodynamics and the effect on stellate ganglion block is dependent not only on the efferent (sympathetic fiber) interruption but also on the afferent one.
AbstractList Skin temperature (surface and muscle; biceps·brachioradialis the ring finger) and plethysmograph on the forefinger is recorded before and after stellate ganglion block in five stroke patients with post-hemiplegic shoulder-hand syndrome under the artificial weather room (temperature 30°C, humidity 60%). The results obtained can be summarized as follows, (1) plethysmographic pulse wave height of the affected finger is indefinite before and after stellate ganglion block. (2) skin temperature is not always elevated after the stellate ganglion block. Therefore it is suggested that there is abnormal peripheral hemodynamics and the effect on stellate ganglion block is dependent not only on the efferent (sympathetic fiber) interruption but also on the afferent one.
Author Tanaka, Shoichi
Katakab, Yuzirou
Ogata, Hajime
Goshi, Katsuko
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  fullname: Goshi, Katsuko
  organization: Department of Rehabilitation medicine, School of Medicine, University of Occupational and Environmental Health
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  fullname: Ogata, Hajime
  organization: Department of Rehabilitation medicine, School of Medicine, University of Occupational and Environmental Health
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References 3) 江藤文夫・他: 片麻痺に合併する肩手症候群 (Shoulder-Hand Syndrome) について. 日老医誌, 12: 245-251, 1975.
7) Steinbrocker, O. et al.: The shoulder hand syndrome in reflex dystrophy of the upper extremity. Ann. Int. Med. 29: 22-52, 1948.
4) 一色淳・他: 星状神経節ブロックの皮膚温. 指尖容積脈波, 血流量におよぼす影響, 臨床麻酔, 7: 325-328, 1983.
1) Betcher, A. et al.: Reflex sympathetic dystrophy, criteria for diagnosis and treatment. Anesth. 16: 994-1003, 1955.
5) 三島好雄: 末梢血管と自律神経. 医学のあゆみ, 98: 347-351, 1976.
6) 小川節郎・他: 星状神経節ブロックの皮膚における疼痛の受容と知覚伝導に及ぼす影響. ペインクリニック, 1: 179-185, 1980.
2) 江藤文夫: 肩手症候群の発生機序. 総合リハ, 5: 1037-1046, 1977.
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Subtitle Homodynamics of Peripheral Circulatory System before and after Stellate Ganglion Block
Title The Post-Hemiplegic Shoulder-Hand Syndrome in Stroke Patients
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