The Effects of Lycra Arm Sleeve on Glenohumeral Subluxation in Poststroke Hemiplegia—A Preliminary Study

Kumar, Praveen

doi:10.1097/jpo.0000000000000226

Cited by 7 publications

(18 citation statements)

References 23 publications

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“…This is in agreement with a previous study on people with stroke which showed a mean reduction of 0.24 cm immediately after the application of sleeve. 16 In that study an experienced rater was involved with ultrasound measurements of AGT distance. In contrast, in this study, a physiotherapy student trained in ultrasound measurements recorded AGT distance.…”

Section: Discussionmentioning

confidence: 99%

“…18,26 One study involving three physiotherapy students reported excellent interrater reliability (ICC 0.79) of AGT measurements for the right shoulder in a relatively younger age group (mean age of 21 years SD 2). 16 Another recent study assessed interrater reliability of ultrasonographic measurements of AGT distance between experienced and novice raters in healthy individuals. This study found good (ICC 0.61) to excellent (0.87) interrater reliability.…”

Section: Discussionmentioning

confidence: 99%

“…14 Limited studies have shown some beneficial effects of Lycra arm sleeve in people with post stroke hemiplegia. 15,16 In a small (n=16) cross-over study, people with post-stroke hemiplegia were asked to wear a Lycra sleeve (from the wrist to the middle of the upper arm) for 3 hours period.…”

Section: Introductionmentioning

confidence: 99%

“…In our recent study on people with chronic stroke (n=5) 16 , the Lycra arm sleeve was applied from the wrist joint up to the insertion of deltoid on the humerus.…”

Section: Introductionmentioning

confidence: 99%

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Does the Application of a Lycra Arm Sleeve Change Shoulder Biomechanics in Young Healthy People? A Mechanistic Study

2019

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Background/Aims: Glenohumeral subluxation (GHS) is commonly reported in people with stroke. Lycra sleeves provide a compressive and supportive effect, influencing the neuromuscular activity in the affected body segment. A recent study reported reduction in GHS (acromion-greater tuberosity (AGT) distance) following application of Lycra arm sleeve, however, its mechanism on the shoulder region as a whole is unclear. The aim of this study was to investigate if application of a Lycra sleeves changes the AGT distance, muscle activity around the shoulder region and scapular position. Methods: Healthy participants aged over 18 years who gave informed consent were recruited. Measurements were taken before and immediately after application of the sleeve. Portable diagnostic ultrasound, surface electromyography and a tape measure were used to measure AGT distance, muscle activity (biceps, triceps, deltoid, and supraspinatus) and position of the scapula respectively. Findings: Thirty one participants (11 men, 20 women) with mean age 25±10 years participated. Paired-test showed significant mean reduction of 0.12 cm (95% confidence intervals (CI) 0.07-0.16cm) in AGT distance measurements (t=5.112, df=30, p=0.003), and scapula measurements (0.3cm, 95% CI 0.04-0.4cm; t=2.501; df=30, p<0.01) when compared without and with sleeve application. Conclusions: Future research should investigate the effects of the Lycra sleeve on people with GHS in the different phases of rehabilitation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…In our recent study on people with chronic stroke (n=5) 16 , the Lycra arm sleeve was applied from the wrist joint up to the insertion of deltoid on the humerus.…”

Section: Introductionmentioning

confidence: 99%

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Does the Application of a Lycra Arm Sleeve Change Shoulder Biomechanics in Young Healthy People? A Mechanistic Study

2019

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“…He educated the patients to wear the Lycra arm sleeve for seven hours per day for seven consecutive days. It was found that the decrease in mean acromion greater tuberosity distance would be due to wearing of Lycra arm sleeves which could be proved beneficial in management of shoulder subluxation in chronic stroke[38].A systemic review and meta analysis was done by H. Lee and S. M. Lim in Seoul, Republic of Korea in 2019 on evaluating evidence for the usefulness of acupuncture in lessening shoulder pain after stroke. They searched for many databases for controlled Trials till March 2015.…”

mentioning

confidence: 99%

A Multicenter Cross- Sectional Survey on Physiotherapy Treatment Practices in Hemiplegic Shoulder Pain and Subluxation in Stroke Patients

Aslam¹

2019

Act Scie Ortho

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Globally, hemiplegic shoulder pain (HSP) and sometimes subluxation are the most common and disabling impairments seen in post stroke survivors. The Frequency of hemiplegic shoulder pain ranges 70% or more in individuals suffering from stroke [1]. In United Kingdom, there is incidence of Hemiplegic Shoulder Pain of 200 per 100,000 population per year [2]. In Thailand, the occurrence of glenohumeral subluxation is reported to be 37% and is linked with hemorrhagic type of stroke, loss of proprioception sensation and Brunnstorm 'stage of arm recovery [3]. Objectives: To identify the current physiotherapy treatment practices in hemiplegic shoulder pain and subluxation in stroke patients. Material and Methods: A cross sectional survey was conducted on 151 Neuro musculoskeletal Physical Therapists, who fulfilled study inclusion criteria and working in different public and private Physiotherapy departments in Karachi, Pakistan by using Non probability purposive sampling Technique. The objective of the study was explained and informed consent was taken from all the Physical therapists taking part in this study. This study used a self-designed structured questionnaire that was pretested through a pilot survey on 25 subjects prior to assess their attitudes and treatment practices. The questionnaire had two sections, in the first section informations related to the participant's demographic, educational details and clinical experiences were asked. Whereas, in section two, informations related to their clinical practices were inquired. Statistical analysis was done through SPSS Version 21. The frequencies and percentages for all categorical variables were computed. Mean and standard deviation were calculated approximately for all continuous variables. P-value <0.05 will be considered statistically significant. Results: The results of this survey show that majority of physical therapists having DPT as a graduation degree, in which females are significant higher than males from private clinical sectors working in musculoskeletal speciality, treat more than two patients of HSP and subluxation in a week. They are certified in Bobath and PNF techniques and use stabilization exercises, shoulder supports, electrical stimulation for treatment purposes. The subjects consider poor handling of patient as a limiting factor in therapy and suggest that HSP or subluxation affect quality of life of a patient. Conclusion: It is suggested that majority of physical therapists in Karachi, Pakistan use shoulder supports, stabilization exercises, electrical stimulation, and are trained in PNF and Bobath therapies in management of HSP and subluxation in stroke survivors. According to a systematic review in UK, there is no clear evidence that will report any connection between subluxation of glenohumeral joint and shoulder pain in stroke population [4]. The hemiplegic shoulder pain (HSP) delays rehabilitation and increases the financial expenses of management in people with stroke. Unfortunately, a very little is known about the incidence of hemiple...

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Acceptability of Lycra arm sleeve in people with sub-acute stroke: patients’, carers’ and clinicians’ perspectives

Kumar

Jones²,

Cramp³

et al. 2023

Physiotherapy

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The Effects of Lycra Arm Sleeve on Glenohumeral Subluxation in Poststroke Hemiplegia—A Preliminary Study

Cited by 7 publications

References 23 publications

Does the Application of a Lycra Arm Sleeve Change Shoulder Biomechanics in Young Healthy People? A Mechanistic Study

Does the Application of a Lycra Arm Sleeve Change Shoulder Biomechanics in Young Healthy People? A Mechanistic Study

A Multicenter Cross- Sectional Survey on Physiotherapy Treatment Practices in Hemiplegic Shoulder Pain and Subluxation in Stroke Patients

Acceptability of Lycra arm sleeve in people with sub-acute stroke: patients’, carers’ and clinicians’ perspectives

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