The effectiveness of functional electrical stimulation for the treatment of shoulder subluxation and shoulder pain in hemiplegic patients: A randomized controlled trial

Koyuncu, Engin; Nakipoğlu-Yüzer, Güldal Funda; Doğan, Asuman; Özgirgin, Neşe

doi:10.3109/09638280903183811

Cited by 46 publications

(52 citation statements)

References 22 publications

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“…[23] Similarly, in another study, the authors showed that NMES application did not affect shoulder pain, although it reduced shoulder subluxation. [17] Controversially, in another study, the VAS-pain scores were more improved in the NMES treatment group than control group. [24] In this study, we found that, although the SDQ scores decreased in the NMES group, VAS-pain scores decreased in both groups.…”

Section: Discussionmentioning

confidence: 95%

“…[15][16][17]21] A study including 40 acute hemiplegic patients with GHS (20 patients in each control and NMES groups) examined the effects of four-week NMES application to the supraspinatus and posterior deltoid muscles. [21] The authors assessed all patients at four weeks after stroke and, then, at 12 weeks after stroke.…”

Section: Discussionmentioning

confidence: 99%

“…In another study, the NMES application to the supraspinatus and posterior deltoid muscles in combination with conventional treatment was found to be more beneficial than the conventional treatment alone in hemiplegic GHS patients. [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.…”

Section: Discussionmentioning

confidence: 99%

“…[15,16] Additionally, positive effects of NMES on shoulder subluxation were shown through radiographic imaging. [17] However, to the best of our knowledge, the effects of NMES on GHS using USG have not been studied in stroke patients previously. Therefore, in the present study, we aimed to investigate the NMES effects on shoulder subluxation in stroke patients through USG.…”

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confidence: 97%

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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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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 97%

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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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“…4 Electrical stimulation of the supraspinatus and deltoid muscles has been investigated and has shown some promising results, although there are no long-term follow-up studies on the benefits of this 6,7,14 ; however, a Cochrane review looking at this did not support its use. 30 Shoulder taping has been suggested to provide analgesia in patients suffering shoulder pain secondary to hemiplegia, but the evidence is weak.…”

Section: Managementmentioning

confidence: 95%

Management of shoulder pain after a cerebrovascular accident or traumatic brain injury

Manara

Taylor

Nixon

2015

Journal of Shoulder and Elbow Surgery

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Effects of Brain–Computer Interface‐controlled Functional Electrical Stimulation Training on Shoulder Subluxation for Patients with Stroke: A Randomized Controlled Trial

Jang

Kim

Lee

2016

Occupation Therapy Intl

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The purpose of this study was to investigate the effects of brain-computer interface (BCI)-controlled functional electrical stimulation (FES) training on shoulder subluxation of patients with stroke. Twenty subjects were randomly divided into two groups: the BCI-FES group (n = 10) and the FES group (n = 10). Patients in the BCI-FES group were administered conventional therapy with the BCI-FES on the shoulder subluxation area of the paretic upper extremity, five times per week during 6 weeks, while the FES group received conventional therapy with FES only. All patients were assessed for shoulder subluxation (vertical distance, VD; horizontal distance, HD), pain (visual analogue scale, VAS) and the Manual Function Test (MFT) at the time of recruitment to the study and after 6 weeks of the intervention. The BCI-FES group demonstrated significant improvements in VD, HD, VAS and MFT after the intervention period, while the FES group demonstrated significant improvements in HD, VAS and MFT. There were also significant differences in the VD and two items (shoulder flexion and abduction) of the MFT between the two groups. The results of this study suggest that BCI-FES training may be effective in improving shoulder subluxation of patients with stroke by facilitating motor recovery. Copyright © 2016 John Wiley & Sons, Ltd.

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The effectiveness of functional electrical stimulation for the treatment of shoulder subluxation and shoulder pain in hemiplegic patients: A randomized controlled trial

Abstract: The results of our study have shown that applying FES treatment to the supraspinatus and posterior deltoid muscles in addition to conventional treatment when treating the subluxation in hemiplegic patients is more beneficial than conventional treatment by itself.

Cited by 46 publications

References 22 publications

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

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

Management of shoulder pain after a cerebrovascular accident or traumatic brain injury

Effects of Brain–Computer Interface‐controlled Functional Electrical Stimulation Training on Shoulder Subluxation for Patients with Stroke: A Randomized Controlled Trial

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