Loading...
Please wait, while we are loading the content...
Similar Documents
Elastic Dynamic Sling on Subluxation of Hemiplegic Shoulder in Patients with Subacute Stroke: A Multicenter Randomized Controlled Trial
| Content Provider | MDPI |
|---|---|
| Author | Kim, Min Gyun Lee, Seung Ah Park, Eo Jin Choi, Min Kyu Kim, Ji Min Sohn, Min Kyun Jee, Sung Ju Kim, Yeong Wook Son, Jung Eun Lee, Seo Jun Hwang, Keum Sun Yoo, Seung Don |
| Copyright Year | 2022 |
| Abstract | Background: Shoulder subluxation occurs in 17–64% of hemiplegic patients after stroke and develops mostly during the first three weeks of hemiplegia. A range of shoulder orthoses has been used in rehabilitation to prevent subluxation. However, there is little evidence of their efficacy. AIM: This study aimed to investigate whether there is a difference in the subluxation distance, pain, and functional level of the hemiplegic upper extremity among patients with two different shoulder orthoses. Design: This is a prospective, randomized controlled trial with intention-to-treat analysis. SETTING: Multicenter, rehabilitation medicine department of two university hospitals in South Korea. Population: Forty-one patients with subacute stroke with shoulder subluxation with greater than 0.5 finger width within 4 weeks of stroke were recruited between January 2016 and October 2021. Methods: The experimental group used an elastic dynamic sling while sitting and standing to support the affected arm for eight weeks. The control group used a Bobath sling while sitting and standing. The primary outcome was to assess the distance of the shoulder subluxation on radiography. The secondary outcomes were upper-extremity function, muscle power, activities of daily living, pain and spasticity. Result: The horizontal distance showed significant improvement in the elastic dynamic sling group, but there were no significant differences in the vertical distance between the elastic dynamic and Bobath sling groups. Both groups showed improvements in upper-extremity movements and independence in daily living after 4 and 8 weeks of using shoulder orthoses, and the differences within the groups were significant (p < 0.05). However, there were no significant differences in upper-extremity movements and independence in daily living between the two groups. Conclusions: The subluxation distance showed better results in the elastic dynamic sling, which has both proximal and distal parts, than in the Bobath sling, which holds only the proximal part. Both shoulder orthoses showed improvements in the modified Barthel index, upper-extremity function, and manual muscle testing. |
| Starting Page | 9975 |
| e-ISSN | 16604601 |
| DOI | 10.3390/ijerph19169975 |
| Journal | International Journal of Environmental Research and Public Health |
| Issue Number | 16 |
| Volume Number | 19 |
| Language | English |
| Publisher | MDPI |
| Publisher Date | 2022-08-12 |
| Access Restriction | Open |
| Subject Keyword | International Journal of Environmental Research and Public Health Rehabilitation Stroke Infarction Shoulder Subluxation Orthoses Hemiplegia Shoulder Pain |
| Content Type | Text |
| Resource Type | Article |
