Radiographic Imaging Analysis after Sling Exercises for Hemiplegic Shoulder Subluxation

Kim, Myung-kwon; Jung, Jaemin; Chang, Jong-Sung; Lee, Su-kyoung

doi:10.1589/jpts.24.1099

Cited by 5 publications

(3 citation statements)

References 8 publications

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Section: Discussionmentioning

confidence: 99%

“…The possible mechanisms responsible for reducing the shoulder subluxation distance in patients with acute stroke after a short period of training may be identified from previously published studies [15,24,26]. Although the therapeutic intervention method is also important for the reduction of subluxation in patients with stroke, the timing of treatment initiation is a more important factor [26]. Patients in the acute stage of stroke, of less than one month in duration, showed clinically significant differences between the study group and the control group including in shoulder subluxation distance because the upper limb weight was supported by the sling suspension system, gravity was compensated for, and the flexor synergy was reduced.…”

Section: Discussionmentioning

confidence: 99%

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The Effects of Active Shoulder Exercise with a Sling Suspension System on Shoulder Subluxation, Proprioception, and Upper Extremity Function in Patients with Acute Stroke

Jung

Choi

2019

Med Sci Monit

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Background The aim of this study was to investigate the effect of active shoulder exercise with a sling suspension system on shoulder subluxation, proprioception, and upper extremity function in patients with acute stroke. Material/Methods Thirty-six patients with acute stroke and shoulder subluxation were randomly assigned into two groups. The study group (n=18) received active shoulder exercise with a sling suspension system, and the control group (n=18) received bilateral arm training for 40 minutes, for five days a week, for four weeks. The outcome measures before and after the intervention included measurement of shoulder subluxation distance, shoulder proprioception, the Fugl-Meyer assessment (FMA) scale, and the manual function test (MFT). Results Comparison of the study group with the control group showed significant differences in all outcome scores post-intervention (p<0.05). The study group had significant improvement in shoulder subluxation distance, shoulder proprioception, the FMA score, and the MFT compared with the control group. There was a significant difference in shoulder subluxation (p=0.001), shoulder proprioception (p=0.046), the FMA score (p=0.002), and the MFT (p=0.007) between the two groups, which favored the study group. Conclusions Active shoulder exercise with a sling suspension system may be effective in reducing shoulder subluxation, improving proprioception, and upper extremity function in patients following acute stroke.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Effects of Active Shoulder Exercise with a Sling Suspension System on Shoulder Subluxation, Proprioception, and Upper Extremity Function in Patients with Acute Stroke

Jung

Choi

2019

Med Sci Monit

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“…Follow-up X-rays were taken immediately and 2 hours post-application. A clinician blind to the study and the patient’s clinical information measured the vertical, horizontal, and joint distance [ 3 5 6 ] ( Fig. 2 ).…”

Section: Case Descriptionmentioning

confidence: 99%

“Rhin sling,” A Novel Type of Shoulder Sling in Post-Stroke Shoulder Subluxation: A Case Report

Lee,

Im,

Kim

et al. 2024

Brain Neurorehabil

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This case report introduces a novel type of shoulder prosthesis in 2 patients with hemiplegic shoulder subluxation. A unique reel traction device was incorporated to allow easy traction and accurate correction of joint subluxation. X-ray images taken before and after application showed immediate correction effects that were maintained up to 2 hours after application with no change of sling position. These 2 cases support the idea that this new type of shoulder sling could be applied for therapeutic and corrective purposes in hemiplegic stroke patients with shoulder subluxation.

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Rehabilitation methods for reducing shoulder subluxation in post-stroke hemiparesis: a systematic review

Arya¹,

Pandian²,

Puri

2017

Topics in Stroke Rehabilitation

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Background Shoulder subluxation is a common post-stroke complication affecting up to 80% of the stroke subjects. The pathomechanics at the skeletal level does not provide the structural base for the neural-motor recovery. The management of subluxed shoulder has always been a challenge, complicating the motor and functional recovery. Objective To review the available studies of rehabilitation interventions for reduction of subluxed shoulder and to explore the evidence for impact of subluxation on motor recovery. Method PubMed, the Cochrane Central Register of Controlled Trials, DORIS, PEDro, and OTseeker databases were searched using the keywords: Stroke and Shoulder and Subluxation. The experimental, quasi-experimental, and single group studies investigated the rehabilitation methods to reduce the subluxation were selected. A narrative synthesis of the findings from the selected studies was carried out. Result 2717 studies were identified and 22 studies (14 RCTs or controlled trials and 8 pre-post-single group studies) were finally selected for the review. The rehabilitation intervention: Functional electrical stimulation (FES)/electrical stimulation (11), orthosis/support (07), taping (02), and robotic training and other methods (02) were reviewed. FES is effective in reducing subluxation in acute stage. Shoulder support or orthosis while in situ may reduce the subluxation temporarily. X-ray was the most commonly used assessment tool for the subluxation. Implication of the rehabilitation technique on motor recovery has not been investigated. Conclusion No technique could effectively reduce the subluxation and facilitate the upper limb recovery. Further studies integrating the usual motor training and the subluxation rehabilitation are warranted. Future trials using more precise and valid tool such as ultrasonography are also needed.

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Radiographic Imaging Analysis after Sling Exercises for Hemiplegic Shoulder Subluxation

Cited by 5 publications

References 8 publications

The Effects of Active Shoulder Exercise with a Sling Suspension System on Shoulder Subluxation, Proprioception, and Upper Extremity Function in Patients with Acute Stroke

The Effects of Active Shoulder Exercise with a Sling Suspension System on Shoulder Subluxation, Proprioception, and Upper Extremity Function in Patients with Acute Stroke

“Rhin sling,” A Novel Type of Shoulder Sling in Post-Stroke Shoulder Subluxation: A Case Report

Rehabilitation methods for reducing shoulder subluxation in post-stroke hemiparesis: a systematic review

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