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, Kyeoung Man; Choi, Jong-Duk

doi:10.12659/msm.915277

Cited by 23 publications

(30 citation statements)

References 30 publications

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“…if a consensus could not be reached. Included randomized controlled trials (RCTs), [16][17][18][19]25,41,42 were evaluated using the Dutch Cochrane Risk of Bias Tool for RCTs 43,44 (Table 3). Case-control studies 12,14,26,45,46 were assessed by combining elements from the Newcastle-Ottawa Quality Assessment Scale 47 and the Dutch Cochrane Risk of Bias Tool for casecontrol studies, 43,44 to ensure an extensive risk of bias assessment.…”

Section: Methodological Quality Assessmentmentioning

confidence: 99%

“…Further screening of the titles, abstracts, and the full articles resulted in 12 studies that met the eligibility criteria and were, subsequently, included in this systematic review (Figure 1). Of the 12 included studies, 7 were RCTs [16][17][18][19]25,41,42 and 5 were case-control studies. 12,14,26,45,46 The systematically extracted data of each article are presented in Appendix.…”

Section: Study Selection and Evaluator Level Of Agreementmentioning

confidence: 99%

“…The patient population consisted of individuals affected by SIS (n = 161 participants), [16][17][18][19] as well as, specifically, overhead athletes with SIS (n = 30), 25 unstable shoulders with previous glenohumeral anterior dislocations (n = 50 participants), 14,45 nonspecific shoulder pain (n = 22 participants), 41 RC dysfunctions (n = 62 participants), 12,46 and a shoulder subluxation following a stroke (n = 36 participants). 42 The average mean age (SD) ranged from 21 (3.7) to 58 (2.0) years, and the majority of the participants were male (55.7%).…”

Section: Populationmentioning

confidence: 99%

“…No studies were identified regarding the sense of velocity or sense of force. Eleven studies 12,[16][17][18][19]25,26,41,42,45,46 investigated the effects of the intervention on the pathological shoulder only, whereas Naughton et al 14 trained and assessed both shoulders (1 healthy and 1 affected by an anterior dislocation). The duration of the training periods varied between a single session 12,19,25,45 and 4 to 12 weeks of therapy.…”

Section: Interventionsmentioning

confidence: 99%

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Can a Conservative Rehabilitation Strategy Improve Shoulder Proprioception? A Systematic Review

Ager¹,

Borms²,

Bernaert³

et al. 2021

Journal of Sport Rehabilitation

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Context: Proprioception deficits contribute to persistent and recurring physical disability, particularly with shoulder disorders. Proprioceptive training is thus prescribed in clinical practice. It is unclear whether nonsurgical rehabilitation can optimize shoulder proprioception. Objectives: To summarize the available evidence of conservative rehabilitation (ie, nonsurgical) on proprioception among individuals with shoulder disorders. Evidence Acquisition: PubMed, Web of Science, and EBSCO were systematically searched, from inception until November 24, 2019. Selected articles were systematically assessed, and the methodological quality was established using the Dutch Cochrane Risk of Bias Tool and the Newcastle-Ottawa Quality Assessment Scale. The Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines were utilized for this review. The conservative treatments were categorized as follows: (1) conventional therapy, (2) proprioceptive training, (3) elastic kinesiology tape, and (4) other passive therapies. Evidence Synthesis: Twelve articles were included, yielding 58 healthy control shoulders and 362 shoulders affected by impingement syndrome, glenohumeral dislocations, nonspecific shoulder pain, rotator cuff dysfunction, or subluxation poststroke. The level of agreement between the evaluators was excellent (84.9%), and the studies were evaluated to be of fair to excellent quality (risk of bias: 28.5%–100%). This review suggests, with moderate evidence, that proprioceptive training (upper-body wobble board or flexible foil training) can improve proprioception in the midterm. No decisive evidence exists to suggest that conventional therapy is of added value to enhance shoulder proprioception. Conflicting evidence was found for the improvement of proprioception with the application of elastic kinesiology tape, while moderate evidence suggests that passive modalities, such as microcurrent electrical stimulation and bracing, are not effective for proprioceptive rehabilitation of the shoulder. Conclusions: Proprioceptive training demonstrates the strongest evidence for the effective rehabilitation of individuals with a shoulder proprioceptive deficit. Elastic kinesiology tape does not appear to affect the sense of shoulder proprioception. This review suggests a possible specificity of training effect with shoulder proprioception.

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Section: Methodological Quality Assessmentmentioning

confidence: 99%

Section: Study Selection and Evaluator Level Of Agreementmentioning

confidence: 99%

Section: Populationmentioning

confidence: 99%

Section: Interventionsmentioning

confidence: 99%

See 2 more Smart Citations

Can a Conservative Rehabilitation Strategy Improve Shoulder Proprioception? A Systematic Review

Ager¹,

Borms²,

Bernaert³

et al. 2021

Journal of Sport Rehabilitation

View full text Add to dashboard Cite

show abstract

“…10 This finding was also supported by Paci et al, Jung et al, Nadler et al, Arya et al, suggesting the use of shoulder support should be restricted for a limited period in early stages of stroke and once sufficient motor recovery is achieved around shoulder girdle, it should be discontinued. [4][5][6]8 Sample size was small. Outcome difference between different types of strokes, different age groups and gender were could not be compared.…”

Section: Discussionmentioning

confidence: 99%

A comparative study to assess the satisfaction with clinical outcome of the patients suffering from hemiplegic shoulder subluxation and undergoing rehabilitation with and without Bobath shoulder sling

Mukherjee

Kundu²,

Gulati

et al. 2020

Int J Community Med Public Health

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Background: Hemiplegic shoulder subluxation is one of the most common factor for post-stroke upper limb disability. There are various ways to assess its outcome during rehabilitation, but the assessment of patients’ satisfaction with the shoulder support is often missed. This study was done to compare those patients’ satisfaction with clinical outcome who were undergoing same rehabilitation programme for their hemiplegic shoulder subluxation with and without Bobath shoulder sling.Methods: This prospective controlled interventional study was conducted on 30 patients of both sexes within the age group of 45-65 years with hemiplegic (duration <6 weeks) gleno-humeral subluxation (GHS). Screening of GHS was done by palpation. They were randomly divided in two groups of same number (15 in each group) and put on rehabilitation protocol with group 1 receiving Bobath shoulder Sling as support for subluxed shoulder and group 2 continuing without it. Patients’ satisfaction on clinical outcome was measured with clinical global impression-improvement (CGI-I) scale. Data were collected at 6 weeks (first follow up-visit), 12 weeks (visit 2) and at the end of the study i.e. 24 weeks (visit 3).Results: Statistically significant difference (p=0.003) in mean score of CGI-I at visit 1 suggested significant improvement for group 1 but no statistically significant difference in improvement was noticed between the groups at visit 2 (p=1.000) and visit 3 (p=0.724).Conclusions: Use of support for hemiplegic shoulder is beneficial only during early days of rehabilitation, not on prolonged use.

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Effects of sling exercise therapy on balance, mobility, activities of daily living, quality of life and shoulder pain in stroke patients: a randomized controlled trial

Liu

Feng

Zhang

et al. 2020

European Journal of Integrative Medicine

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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

Cited by 23 publications

References 30 publications

Can a Conservative Rehabilitation Strategy Improve Shoulder Proprioception? A Systematic Review

Can a Conservative Rehabilitation Strategy Improve Shoulder Proprioception? A Systematic Review

A comparative study to assess the satisfaction with clinical outcome of the patients suffering from hemiplegic shoulder subluxation and undergoing rehabilitation with and without Bobath shoulder sling

Effects of sling exercise therapy on balance, mobility, activities of daily living, quality of life and shoulder pain in stroke patients: a randomized controlled trial

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