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1 ion applied at the lateral side of the right shoulder.
2 tal pain in the knee, neck, low back, and/or shoulder.
3 ve external rotation (>=50%) in the affected shoulder.
4 on of the buccal bone wall up to the implant shoulder.
5  of spaceflight on the muscles of the murine shoulder.
6 (ZTE) magnetic resonance (MR) imaging of the shoulder.
7 lly, followed by radiography of the affected shoulder.
8 ars underwent both ultrasound and MRI of the shoulder.
9  symptomatic shoulder than in the unaffected shoulder.
10 al because of swelling and pain in the right shoulder.
11 ers of tendons, labrum, and ligaments of the shoulder.
12  the stroke subjects, and 39 (43.3%) control shoulders.
13 igh activity concentrations in the knees and shoulders.
14 elastic modulus of the CHL between bilateral shoulders.
15 musculoskeletal symptoms, mainly in neck and shoulders.
16 modulus between the dominant and nondominant shoulders.
17 P = .28), requiring secondary surgery to the shoulder (11 patients in both groups), and increased or
18 ities were found in all 45 (100%) hemiplegic shoulders, 25 (55.6%) unaffected shoulders of the stroke
19 a previously unreported weaker well-resolved shoulder 4.8% more mobile, perhaps due to empty (genome-
20 w studies have explored these effects on the shoulder, a dynamically stabilized joint with a large ra
21  with increased involuntary coupling between shoulder abduction and finger flexion, most probably as
22                              The addition of shoulder abduction during hand opening increased relianc
23 otation was excellent in 50% of patients and shoulder abduction in only 20%.
24 pported on a table or when lifting against a shoulder abduction load.
25 ent experienced a stab-like pain on the left shoulder and developed systemic pruritic eruptions.
26 t and digit muscles to those controlling the shoulder and elbow.
27 9) to examine the cuneothalamic pathway from shoulder and forepaw receptive field zones in CN to dete
28  (WOMAC) index, and Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire were completed at
29 The primary outcome was Disabilities of Arm, Shoulder and Hand (DASH) score at 12 months (range, 0 to
30     We examined the Disabilities of the Arm, Shoulder and Hand (DASH) to evaluate its measurement per
31 icient to control either hand or coordinated shoulder and hand movements as a result of its extensive
32 cally and the Quick Disabilities of the Arm, Shoulder and Hand outcome measure, or QuickDASH, and pat
33       The patient's Disabilities of the Arm, Shoulder and Hand questionnaire score improved from 50.0
34  as measured by the Disabilities of the Arm, Shoulder and Hand questionnaire.
35  of 2 demonstrated selective localization to shoulder and knee joints in a biodistribution study in n
36 ine, yielded high activity concentrations in shoulder and knee joints, with minimal uptake in other t
37 ce was found on the distance between implant shoulder and the buccal bone plate (BID) effect.
38        The mean distance between the implant shoulder and the first visible bone-to-implant contact w
39  of a robot arm in 2D using movements of the shoulder and torso.
40 a result of involuntary coupling between the shoulder and wrist/finger flexors.
41  to be kept in mind while evaluating routine shoulder and/or scapular region MRI, especially in the a
42 ographically evaluate post-stroke hemiplegic shoulders and explore possible relationship(s) between t
43                        Wide neck, anteverted shoulders and prominent trapezius muscles together with
44 er of pathologies compared to the unaffected shoulders and shoulders of controls (p=0.000).
45  of structural abnormalities than unaffected shoulders and the shoulders of controls.
46         Neurons with proximal RFs (upper arm/shoulder) and pyramidal tract-projecting neurons (PTNs)
47 the treatment of adhesive capsulitis (frozen shoulder) and to restore glenohumeral ROM in shoulder ar
48 ients completed the Disabilities of the Arm, Shoulder, and Hand (DASH) survey (lower score indicates
49 ty was measured using the Disability of Arm, Shoulder, and Hand questionnaire.
50    His preoperative Disabilities of the Arm, Shoulder, and Hand score was 50 versus 18, postoperative
51  annually using the Disabilities of the Arm, Shoulder, and Hand; Carroll; Hand Transplantation Score
52 copy showed that synoviocytes of the stifle, shoulder, and hip are a target for mouse-adapted Ebola v
53 ted muscles, scapular dyskinesis test, head, shoulder, and thoracic spine angle were measured at base
54 , including pain in multiple ribs, bilateral shoulders, and bilateral hips.
55  to the peak are often followed by plateaus, shoulders, and lag-driven oscillations.
56 hes are caused by spasm or tension of scalp, shoulders, and neck muscles inserted in the occipital re
57 d measured acromial thickness (AT), critical shoulder angle (CSA), lateral acromial angle (LAA), acro
58 owever, CH(4) emissions in spring and autumn shoulders are often underestimated by land models and me
59  T cells were injected subcutaneously on the shoulder area.
60 etal conditions include pain in the neck and shoulder areas.
61 se absorption at 320 nm (appearing as a band shoulder) arising from a reaction intermediate.
62  established, immobilization murine model of shoulder arthrofibrosis, multiple IA injections of human
63 shoulder) and to restore glenohumeral ROM in shoulder arthrofibrosis.
64 y of relaxin-2 is an innovative treatment of shoulder arthrofibrosis.
65 echnique of magnetic resonance-guided direct shoulder arthrography (MDSA), to evaluate the diagnostic
66 s bacteria recovered at the time of revision shoulder arthroplasty would often represent more than on
67             For patients undergoing revision shoulder arthroplasty, multiple samples from the surgica
68 tion (PJI) is a catastrophic complication of shoulder arthroplasty.
69 , and sixty consecutive patients proposed to shoulder arthroscopic surgery were selected.
70 is of a cohort of 255 patients who underwent shoulder arthroscopy.
71                These data define the cap and shoulder as subdomains within the repair complex accumul
72 ommon systemic diseases that manifest in the shoulder as well as disorders of the acromioclavicular j
73 s with more severe rotator cuff tears of the shoulder at preoperative MRI have a greater degree of re
74 tion in young adult rats, new input from the shoulder becomes expressed throughout the FBS that quite
75 ching administrative data for persons with a shoulder bursitis diagnostic code within 180 days after
76 or isotropic particles with a soft repulsive shoulder but have not been experimentally realized.
77 Mountains (TAM) are the world's longest rift shoulder but the source of their high elevation is enigm
78 re costly and invasive treatments for frozen shoulder, but their effectiveness remains uncertain.
79 tems from within the organisation and is not shouldered by individual nurses alone.
80   Calcific and noncalcific tendinitis of the shoulder can be unresponsive to conventional therapies.
81 e adults (>=18 years) with unilateral frozen shoulder, characterised by restriction of passive extern
82 e reassessment appointment with a specialist shoulder clinician 3 months after study entry, but no in
83 ey are a frequent cause of patient visits in shoulder clinics.
84              Rather, they establish "head-to-shoulder" contacts with loose interactions between each
85 ded additional potential uses for evaluating shoulder derangements.
86                                              Shoulder disease is common in the athletic population an
87 thrography will be explored in evaluation of shoulder disease, taking into account normal variants of
88 (RCTs) represent a significant proportion of shoulder diseases, hence they are a frequent cause of pa
89 s commonly seen in patients with an anterior shoulder dislocation.
90  clinical misconception that their recurrent shoulder dislocations are a form of attention-seeking.
91  peptides that emerge from the alpha-helical shoulder domain.
92               This established the loss of a shoulder during the recovery of the depolarization (K(+)
93 letal cells are both sensors and responders, shouldering duties believed exclusive to osteocytes.
94 h centile) had 22% sensitivity at predicting shoulder dystocia with a positive likelihood ratio of 2.
95 dicting the delivery of a macrosomic infant, shoulder dystocia, and associated neonatal morbidity in
96  heart rate, meconium in the amniotic fluid, shoulder dystocia, and newborn weight (>= 4,000 g) were
97 s included macrosomia (multiple thresholds), shoulder dystocia, and other markers of neonatal morbidi
98 livery of large for gestational age infants, shoulder dystocia, spontaneous and medically indicated p
99 lly significantly) predictive of the risk of shoulder dystocia.
100 ferentially innervated C5-C7, which supplies shoulder, elbow, and wrist musculature.
101                          We propose that the shoulder evolved gradually along a single morphocline, a
102                                   Hemiplegic shoulders exhibited significantly higher number of patho
103  from the elbow, wrist, or finger flexors or shoulder extensors.
104                                              Shoulder external rotation was excellent in 50% of patie
105 ure among two allopatric subspecies of White-shouldered Fairywren, Malurus alboscapulatus that vary i
106 h an examination of the contralateral normal shoulder, followed by MRI of the symptomatic shoulder in
107       Additionally, SNL L4 neurons developed shoulders following transients with lower peaks than Con
108  = .32); complications related to surgery or shoulder fracture (30 patients in surgical group vs 23 p
109                                      Arm and shoulder function was also adversely affected by tumour
110 nction was more reliable than restoration of shoulder function.
111 ic status, breast-specific symptoms, arm and shoulder functional status (Breast Cancer Treatment Outc
112 verse effects on cosmetic status and arm and shoulder functional status, which might inform shared de
113 on, he was severely atrophic and weak in his shoulder girdle and the entire paraspinal musculature.
114  or predominant involvement of the pelvic or shoulder girdle musculature.
115 rgent to the avian furculum, and they retain shoulder girdle plesiomorphies of mammaliaforms and mono
116 letal defects affecting the palatal shelves, shoulder girdle, vertebrae, and sternum.
117  enables the reconstruction of the skull and shoulder girdle.
118 and is typically mild and located around the shoulder girdle.
119 thoracic spine and thoracic wall, pelvic and shoulder girdles, and peripheral entheses and joints.
120                                   Hemiplegic shoulders have significantly higher number of structural
121                        We describe a case of shoulder hemiarthroplasty infection with Desulfovibrio l
122 ime touching their own hair, face, neck, and shoulders (HFNS).
123 the clinical applicability of ZTE in osseous shoulder imaging.
124  therapy are used to treat patients with the shoulder impingement syndrome (SIS) but have never been
125 n magnetic resonance images of patients with shoulder impingement syndrome and to review the literatu
126  is a very common pathology in patients with shoulder impingement syndrome.
127 shoulder, followed by MRI of the symptomatic shoulder in all 50 patients.
128 o increased range of motion and force at the shoulders in chronic survivors.
129 y-related complications that were all frozen shoulders (in two patients in each group).
130 ep specimens from a potential periprosthetic shoulder infection cannot be assumed.
131 mon bacterium associated with periprosthetic shoulder infections.
132                 To determine whether the new shoulder input in the deafferented forepaw VPL projected
133 lder zone might provide a possible source of shoulder input to forepaw VPL.
134 ulate that following amputation these latent shoulder inputs become expressed, possibly as a down-reg
135 uction in 16 patients with Polar Type II/III shoulder instability and 16 age-matched controls.
136 of Stanmore Classification Polar type II/III shoulder instability is not well understood.
137  neural differences in patients with complex shoulder instability, and suggest that patients are in s
138  experience long-term functional deficits to shoulder integrity but did experience long-term mechanic
139 d spheres or spheres with square-well/square-shoulder interactions, at a crowder volume fraction of v
140                   The ancestral state of the shoulder is of particular interest because it is functio
141          In the 70S-G299A structure, the 30S shoulder is rotated inward and decoding nucleotide G530
142          In the 70S-G347U structure, the 30S shoulder is rotated inward and intersubunit bridge B8 is
143  modality for imaging of soft tissues of the shoulder joint considering a possibility of multiplanar
144                                              Shoulder joint is a common site of musculoskeletal pain
145 athy with shoulder pain, whose age, sex, and shoulder laterality values were matched, were compared i
146 reased transient peak and area, and elevated shoulder level as evidence of diminished mitochondrial C
147 s, while the SNL L5 neurons showed increased shoulder level.
148 ost cases, to be consistent with plateau- or shoulder-like phenomena-a qualitative observation reinfo
149 uscle fibers, underscoring the importance of shoulder-localized proteins.
150 between 15 and 25 years of age who underwent shoulder magnetic resonance (MR) imaging for shoulder pa
151 es the requirements as a practicable routine shoulder magnetic resonance examination including arthro
152 s performed in the axial oblique plane under shoulder maximal external rotation.
153 ficantly greater than that of the unaffected shoulder (median, 203.3 kPa; IQR, 144.1-242.7 kPa) in th
154   The CHL elastic modulus of the symptomatic shoulder (median, 234.8 kPa; interquartile range [IQR],
155 nts, is different from and convergent to the shoulder mobility at the pivotal clavicle-sternal joint
156  GAML was used to create a case study for 3D shoulder model to benchmark our approach with up to 5000
157  to group anatomical constraints in 3D human shoulder model using community detection algorithms.
158             A case study for 3D modeling for shoulder models developed for arthroscopic rotator cuff
159 outcomes were hospital stay length, neck and shoulder morbidity, and number of physiotherapy prescrip
160 accades combined with contralateral neck and shoulder movements encoded in dorsomedial FEF.
161 t PW4 evoked contralateral wrist, elbow, and shoulder movements.
162                                              Shoulder MR images from an additional 50 patients (mean
163                                              Shoulder MR images of 100 patients (average age, 44 year
164  retrospectively analyzed the results of 137 shoulder MRI examinations performed in 57 women and 72 m
165 ared in terms of rotator cuff tears on their shoulder MRI images.
166 1.6 vs. 8.2%EMGmax, all P < 0.05) and static shoulder muscle activity (p0.1 5.7 vs. 2.8%EMGmax, P < 0
167 ion was strongest to motoneurons innervating shoulder muscles and elbow extensors, weak to wrist and
168 tion SF caused dramatic molecular changes to shoulder muscles and responses to reloading upon landing
169 xamined the effects of microgravity on mouse shoulder muscles for the 15-d Space Transportation Syste
170  electrically stimulate his hand, elbow, and shoulder muscles.
171 F1(+/ex42del) boar developed a large diffuse shoulder neurofibroma, visualized on magnetic resonance
172 ian, 203.3 kPa; IQR, 144.1-242.7 kPa) in the shoulder-neutral position (P = .004) but not under maxim
173                     SWE was performed in the shoulder-neutral position and under maximal external rot
174  2-fold and 5-fold axes of symmetry) and the shoulder of the 3-fold protrusions.
175 ies compared to the unaffected shoulders and shoulders of controls (p=0.000).
176 ormalities than unaffected shoulders and the shoulders of controls.
177 tifacts that allows us to truly stand on the shoulders of giants.
178 I have seen further it is by standing on the shoulders of giants." We propose that this sentiment is
179 es often display partially resolved peaks on shoulders of larger peaks.
180  hemiplegic shoulders, 25 (55.6%) unaffected shoulders of the stroke subjects, and 39 (43.3%) control
181 large, broad anomaly from 70 to 220 K with a shoulder on the low-temperature side, suggesting sorptio
182 f a hyperpolarization, an extended ramp-like shoulder, or a depolarization reminiscent of depolarizin
183 direction, and to the positions of the head, shoulder, or hand.
184 f subacromial space, acute trauma or chronic shoulder overload.
185  symptomatic shoulder than in the unaffected shoulder (P < .001).
186  symptomatic shoulder than in the unaffected shoulder (P = .005).
187            The primary outcome was change in Shoulder Pain and Disability Index scores at 1 year.
188    All mean differences on the assessment of shoulder pain and function (OSS) at the primary endpoint
189 ION: Surgical groups had better outcomes for shoulder pain and function compared with no treatment bu
190 the genetic variants associated with neck or shoulder pain based on a genome-wide association approac
191 dentified three loci associated with neck or shoulder pain in the UK Biobank cohort, two of which wer
192 netic loci that were associated with neck or shoulder pain in the UK Biobank samples.
193               It is associated with superior shoulder pain in young patients (< 25 years old), and pi
194                                              Shoulder pain is a common musculoskeletal disorder and h
195                                              Shoulder pain is the third most frequent musculoskeletal
196 en comprised a larger group of patients with shoulder pain not preceded by injury.
197 nce impairments, neck pain or stiffness, and shoulder pain or stiffness), autonomic features (constip
198              Although the natural history of shoulder pain varies and is often self-limiting,up to ha
199 shoulder magnetic resonance (MR) imaging for shoulder pain was performed.
200                                Posttraumatic shoulder pain was predominantly reported by men, while w
201 based on their MRI compared to patients with shoulder pain without calcific tendinopathy.
202 st common adverse events were neck or arm or shoulder pain, arm paraesthesia, dysphagia, and worsenin
203 pically) is a common surgery for subacromial shoulder pain, but its effectiveness is uncertain.
204 fic tendinopathy, who had been admitted with shoulder pain, did not demonstrate an increased risk of
205 study population, 129 patients suffered from shoulder pain, including 57 patients who reported a hist
206 linical features such as new-onset bilateral shoulder pain, including subdeltoid bursitis, muscle or
207 esonance imaging (MRI) for the evaluation of shoulder pain, which is a common clinical complaint of t
208  patients without calcific tendinopathy with shoulder pain, whose age, sex, and shoulder laterality v
209 s referred for ultrasound and MRI because of shoulder pain.
210  magnetic resonance imaging in patients with shoulder pain.
211 omen and 56% men in a group of patients with shoulder pain.
212  is needed to confirm their roles in neck or shoulder pain.
213 cuff tears (RCT) are the common aetiology of shoulder pain.
214 re Monte Carlo simulations of hard core-soft shoulder particles with experimentally realistic interac
215 minates the clinical practice to investigate shoulder pathology.
216  one broad absorption band at ~553 nm with a shoulder peak at the higher energy side along with a sha
217 a more primitive or australopith-like trunk, shoulder, pelvis and proximal femur.
218                                        Also, shoulder phenomenon showed a high NPV (0.92) and PPV (0.
219  in the affected segment and the presence of shoulder phenomenon.
220 gitudinal studies conducted in patients with shoulder PJI treated exclusively by one- or two-stage re
221 s of one- and two-stage revision surgery for shoulder PJI using a systematic review and meta-analysis
222 int function, and improving complications in shoulder PJI.
223                                          The shoulder projects dramatically away from the Arp filamen
224  bilateral knee prostheses, 16 patients with shoulder prostheses, 14 patients with hip prostheses, 11
225 nts (either dental implants, hip prostheses, shoulder prostheses, or pedicle screws) and (68)Ga-label
226  Nine of 10 patients (90%) had resolution of shoulder pseudosubluxation following nerve transfer to t
227 nkle, time-locked to a forwards or backwards shoulder pull.
228 lated during unexpected forward and backward shoulder pulls.
229 crown length (IC), distance from the implant shoulder radiographic bone-to-implant contact (DIB), pin
230 orepaw VPL antidromically-activated cells in shoulder receptive field sites in CN.
231 st that forepaw VPL also receives input from shoulder receptive sites in CN that are latent or subthr
232 , localized adjacent to the repair cap in a "shoulder" region enriched with phosphatidlyserine.
233 area 3b labeled more neurons in the face and shoulder regions of area 3b than in normal monkeys, and
234 tients in both groups), and increased or new shoulder-related therapy (7 patients vs 4 patients, resp
235 o VPL, and (c) from sites in the forepaw and shoulder representation in VPL to forelimb and shoulder
236 ilar stimulation from a site in the original shoulder representation, outside the deafferented region
237  with particular emphasis on the forepaw and shoulder representations and showed that VPL was somatot
238 Rather than a devil and angel sitting on our shoulders, research suggests that we have two decision-m
239 ork reveals the functional importance of 30S shoulder rotation for productive aminoacylated-tRNA inco
240 al cells isolated from patients with chronic shoulder rotator cuff tendon tears have dysregulated res
241           The primary outcome was the Oxford Shoulder Score (0 [worst] to 48 [best]) at 6 months, ana
242           The primary outcome was the Oxford Shoulder Score (OSS; 0-48) at 12 months after randomisat
243               Primary outcome was the Oxford Shoulder Score (range, 0-48; higher scores indicate bett
244 ean treatment group difference in the Oxford Shoulder Score averaged over 2 years (39.07 points for t
245                                  Mean Oxford Shoulder Score did not differ between the two surgical g
246             At 6 months, data for the Oxford Shoulder Score were available for 90 patients assigned t
247 ortant difference of 5 points for the Oxford Shoulder Score.
248 resulting in net CO2 uptake increases in the shoulder seasons and decreases during the summer.
249                             We find that the shoulder seasons contribute to about a quarter (25.6 +/-
250  the non-growing season, particularly in the shoulder seasons, account for a substantial proportion o
251 sponses, particularly in the spring and fall shoulder seasons.
252 simonious model for the evolution of hominin shoulder shape starts with an African ape-like ancestral
253 on of absence of diverticula and presence of shouldering showed a high diagnostic certainty (93%).
254                       Ultrasonography of the shoulder shows promising results in the diagnosis of rot
255 (eg, facial muscle activity, head movements, shoulder shrugs).
256                         Stimulation of a new shoulder site in deafferented FBS antidromically-activat
257  deafferented forepaw VPL projected to a new shoulder site in the deafferented FBS, we examined the t
258 oulder representation in VPL to forelimb and shoulder sites in SI.
259 act contract between itself and society must shoulder some of the responsibility for its own problems
260 phyrins show unique absorption patterns with shouldered Soret bands and extra absorptions in the Q-ba
261 se working harder or differently to maintain shoulder stability, with brain activity similar to early
262 hese treatments on biomechanical measures of shoulder stiffness and ultrasound shear wave elastograph
263                                              Shoulder stiffness did not differ between the treatment
264 amers (2 and 3) possessed a new, red-shifted shoulder structure that suggests the packing order is he
265 crotubules through a mechanism involving the shoulder subcomplex and the cytoskeletal-associated prot
266  long head of bicep tendon (48.9%), inferior shoulder subluxation (44.4%), co-existing subacromial-su
267 sies were collected from patients undergoing shoulder surgery.
268 al apophyses (chi(2), P < .001) and superior shoulder tenderness (P < .001).
269 ated tendon cells derived from patients with shoulder tendon tears and healthy volunteers.
270 issues and cells isolated from patients with shoulder tendon tears and tendons of healthy volunteers
271  lipids in the resolution of inflammation in shoulder tendon tears.
272 was significantly greater in the symptomatic shoulder than in the unaffected shoulder (P < .001).
273 astic modulus was greater in the symptomatic shoulder than in the unaffected shoulder (P = .005).
274 d that the CHL is stiffer in the symptomatic shoulder than in the unaffected shoulder.
275 the microspheres and induce a soft repulsive shoulder that governs the self-assembly in this system.
276 t that females and younger adult populations shoulder the highest relative burden of statin-associate
277                                  Counts, has shouldered the struggle to end disparities in education,
278 e only if a small fraction of the population shoulders the cost while the majority reap the benefits.
279  is an inflammatory disease that affects the shoulder, the pelvic girdles, and the neck, usually in i
280 8 hours postoperatively, lower prevalence of shoulder-tip pain (3.0% vs 37.5%), shorter time to oral
281 ld undergo ultrasonography of the hemiplegic shoulder to define the nature and extent of soft tissue
282 tern of projection (a) from the forelimb and shoulder to SI, (b) from the forepaw and shoulder to VPL
283 thesia, the surgeon manipulated the affected shoulder to stretch and tear the tight capsule while the
284 ement error of the distance from the implant shoulder to the buccal bone crest was 1.6 mm.
285                The distance from the implant shoulder to the buccal bone crest was measured on cross-
286 d with a mean DIB (distance from the implant shoulder to the first bone-to-implant contact) of -0.15
287 and shoulder to SI, (b) from the forepaw and shoulder to VPL, and (c) from sites in the forepaw and s
288 ith stage III melanoma arising from his left shoulder underwent wide local excision, sentinel lymph n
289                               T2 maps of the shoulder, upper arm, forearm, thigh, and calf were gener
290 ocedure pain scores in the neck, lower back, shoulders, upper back, wrists/hands, knees, and ankles.
291 m-solving tool either following an equivocal shoulder USG or for delineation of anatomy in cases wher
292 d opening in isolation and together with the shoulder using high-density EEG.
293      At each time period, new input from the shoulder was observed in the deafferented forepaw region
294 ution ultrasound examination of the involved shoulder was performed together with an examination of t
295 generated and matched elbow torques when the shoulder was: (1) not abducted (single-to-single-joint),
296     Standard sonographic examination of both shoulders was performed to assess for joint subluxation,
297 condary care for treatment of primary frozen shoulder were recruited from 35 hospital sites in the UK
298                               When bilateral shoulders were maintained at the same angle of external
299  most frequent pathologies in the hemiplegic shoulders were the following: tendinosis of the long hea
300 e rats were subcutaneously inoculated in the shoulder with ERalpha/ERbeta-expressing SKOV3 human ovar
301 d of bicep tendon was commoner in hemiplegic shoulders with poor motor status than those with good mo
302 CN to determine whether projections from the shoulder zone might provide a possible source of shoulde

 
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