Efficacy of electrical stimulation in preventing or reducing subluxation of the shoulder after stroke: A meta-analysis

Ada, Louise; Foongchomcheay, Anchalee

doi:10.1016/s0004-9514(14)60165-3

Cited by 104 publications

(93 citation statements)

References 28 publications

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“…Kobayashi, Onishi, Ihashi, Yagi, and Handa (1999) found electrical stimulation to be effective in reducing subluxation when applied to the supraspinatus and the middle deltoid for 15 min twice a day for 6 wk. However, a meta-analysis by Ada and Foongchomcheay (2002) concluded that although evidence supports the use of electrical stimulation to prevent subluxation early after a stroke, little evidence supports using electrical stimulation late after a stroke.…”

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confidence: 99%

Effectiveness of the California Tri-Pull Taping Method for Shoulder Subluxation Poststroke: A Single-Subject ABA Design

Hayner

2012

The American Journal of Occupational Therapy

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OBJECTIVE. I evaluated the effectiveness of the California Tri-Pull Taping method for clients with poststroke inferior shoulder subluxation of the glenohumeral joint.METHOD. Ten participants were followed for 9 wk using an interrupted time series quasi-experimental single-subject ABA design to examine shoulder pain, activities of daily living (ADL) function, active range of motion, tape comfort, and subluxation.RESULTS. The California Tri-Pull Taping method decreased inferior subluxation significantly from baseline to intervention but not at postintervention. Active range of motion was significantly increased in shoulder flexion and abduction between the baseline and intervention and the intervention and postintervention phases. Functional ADL scores were significant. The taping was reported to be comfortable. No significant difference in pain was found.CONCLUSION. This intervention is a promising adjunct to the management of the hemiplegic subluxed shoulder that warrants further research. Hayner, K. A. (2012). Effectiveness of the California tri-pull taping method for shoulder subluxation poststroke: A singlesubject ABA design. American Journal of Occupational Therapy, 66, 727-736. http://dx

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confidence: 99%

Effectiveness of the California Tri-Pull Taping Method for Shoulder Subluxation Poststroke: A Single-Subject ABA Design

Hayner

2012

The American Journal of Occupational Therapy

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“…34,35 We recruited participants early after stroke but found no benefit. Previous studies predominantly recruited participants months or even years after stroke and therefore may have treated the late complications of stroke rather than influenced recovery.…”

Section: Discussionmentioning

confidence: 98%

Randomized Controlled Trial to Evaluate the Effect of Surface Neuromuscular Electrical Stimulation to the Shoulder After Acute Stroke

Church

Price

Pandyan

et al. 2006

Stroke

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Background and Purpose— Surface neuromuscular electrical stimulation (sNMES) after stroke aims to improve upper limb function and reduce shoulder pain, but current evidence of effectiveness is inconclusive. We have undertaken a randomized controlled trial to evaluate sNMES to the shoulder after acute stroke. Methods— One hundred seventy-six patients, within 10 days of stroke onset, were randomized to receive sNMES or placebo in addition to stroke unit care. The primary outcome measure was upper limb function measured by the Action Research Arm Test (ARAT) 3 months after stroke. Secondary outcome measures included other measures of upper limb function, upper limb impairment, pain, disability, and global health status. Outcome assessments were blinded. Results— There was no difference in arm function between groups in terms of the primary outcome measure. The median ARAT at 3 months was 50 in the intervention group and 55.5 in the control group ( P =0.068). Significant differences were seen at 3 months in favor of the control group for other measures of arm function and impairment: grasp and gross movement subsections of the ARAT, Frenchay Arm Test, and the arm subsection of the Motricity Index. Secondary analysis suggested that these differences were most marked in subjects with severe initial upper limb weakness. Conclusions— A 4-week program of sNMES to the shoulder after acute stroke does not improve functional outcome and may worsen arm function in severely impaired stroke patients. “Routine” use of sNMES to the proximal affected upper limb after acute stroke cannot be recommended.

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“…[17] It has been suggested that NMES application to the aforementioned muscles prevents the subluxation prohibiting the inferior displacement of the humeral head. [22] Also, NMES affects agonist and antagonist muscles through local neuronal effects and spinal cord pathways. In the present study, the patients were assessed within 12 months after stroke and, compared to the baseline, 20-session NMES treatment decreased shoulder subluxation.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonographic assessment of neuromuscular electrical stimulation efficacy on glenohumeral subluxation in patients with hemiplegia: a randomized-controlled study

Türkkan

Öztürk

Uğurlu

et al. 2017

Turk J Phys Med Rehab

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Objectives: This study aims to investigate the short-term effects of neuromuscular electrical stimulation (NMES) on glenohumeral subluxation (GHS) in stroke patients. Patients and methods:This prospective, randomized-controlled study included 24 unilateral hemiplegic patients (10 males, 14 females; mean age 64.1±14.8 years; range 22 to 84 years) with GHS as assessed by ultrasonography between December 2013 and September 2014. The patients were randomly divided into two groups as those in the NMES group (n=12) who were treated with NMES to supraspinatus, upper trapezius, and posterior deltoid muscles combined with conventional physiotherapy and as those in the control group (n=12) who were received conventional physiotherapy alone. Clinical (the Brunnstrom Motor Recovery Stage, Visual Analog Scale [VAS] for Pain and Shoulder Disability Questionnaire [SDQ]) and ultrasonographic (acromion-greater tuberosity distance, thicknesses of supraspinatus, upper trapezius, and posterior deltoid muscles) variables were evaluated before and after treatment in both groups. Results:The SDQ index, acromion-greater tuberosity distance, and supraspinatus muscle thickness were improved in the NMES group, compared to the control group (for all p<0.05). The VAS-pain scores decreased in both groups. There was no statistically significant alterations in the other measurements in both groups (for all p>0.05). The percentage change (%) of the VAS-pain scores was not significantly different between two groups (p=0.03). Conclusion:Our study results showed that GHS decreased after 20 sessions of NMES treatment. Based on these findings, ultrasonography appears to be a proper imaging tool for the evaluation of GHS in stroke patients.

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Efficacy of electrical stimulation in preventing or reducing subluxation of the shoulder after stroke: A meta-analysis

Cited by 104 publications

References 28 publications

Effectiveness of the California Tri-Pull Taping Method for Shoulder Subluxation Poststroke: A Single-Subject ABA Design

Effectiveness of the California Tri-Pull Taping Method for Shoulder Subluxation Poststroke: A Single-Subject ABA Design

Randomized Controlled Trial to Evaluate the Effect of Surface Neuromuscular Electrical Stimulation to the Shoulder After Acute Stroke

Ultrasonographic assessment of neuromuscular electrical stimulation efficacy on glenohumeral subluxation in patients with hemiplegia: a randomized-controlled study

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