The Effects of Shoulder Slings on Balance in Patients With Hemiplegic Stroke

Sohn, Min Kyun; Jee, Sung Ju; Hwang, Pyoungsik; Jeon, Yumi; Lee, Hyunkeun

doi:10.5535/arm.2015.39.6.986

Cited by 14 publications

(11 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…On the other hand the results of this study contradicted with Min Kyun Sohn et al, [19] who evaluated the effect of a shoulder sling on balance in patients with hemiplegia. The results demonstrated that a simple arm sling had no effect on either the static or the dynamic balance tests.…”

Section: Discussioncontrasting

confidence: 99%

Effect of Arm Sling on Postural Stability in Stroke Patients

Tawik

El-Hoseny

2019

The Medical Journal of Cairo University

View full text Add to dashboard Cite

Background: Stroke is the second leading cause of death worldwide, and is the major cause of morbidity, particularly in the middle aged and elderly population. Despite some uncertainty about their efficacy and timing, arm slings are still the most preferred treatment modality for shoulder subluxation in stroke patients. Aim of Study: This study was designed to determine the effect of arm sling on postural stability in stroke patients. Patients and Method: This study was conducted on fortyfive patients of both sexes (30 males and 15 females) with hemi paretic stroke (in the domain of carotid system). Their ages ranged from 45-60 years, the duration of stroke ranged from 6 to 18 months. They were assigned into one group (study group). All patients were assessed on biodex balance device. Data obtained from the study group under two conditions, without arm sling and with arm sling. Data of overall stability index, anteroposterior stability index and mediolateral stability index were statistically analyzed and compared between the two conditions. Results: The results of the present study revealed that there was a statistically significant improvement in values of overall stability index in arm sling condition compared to without arm sling condition (p=0.0001)*. The mean difference between without and with arm sling conditions was 1.16 and the percent of change was 28.85%. Conclusion: In view of the results of this study, it's possible to conclude that there was a beneficial effect of using arm sling on postural stability in stroke patients and it may play a role in stroke rehabilitation.

show abstract

Section: Discussioncontrasting

confidence: 99%

Effect of Arm Sling on Postural Stability in Stroke Patients

Tawik

El-Hoseny

2019

The Medical Journal of Cairo University

View full text Add to dashboard Cite

show abstract

“…In addition, the vertical movement produced by the restrained arm swing using an arm sling increases knee extension (minimal knee kinematics), because lower swings of the counteracting arm result in higher vertical moment ( Li et al, 2001 ). However, a recent study found that flexed and extended arm slings had no effect on balance, including weight asymmetry patterns, although the stroke patients were standing in that investigation ( Sohn et al, 2015 ). In addition, unlike our study, those researchers applied a Bobath sling to both the affected and unaffected sides.…”

Section: Discussionmentioning

confidence: 91%

Changes in gait kinematics and muscle activity in stroke patients wearing various arm slings

Hwang

Yoon

2017

J Exerc Rehabil

View full text Add to dashboard Cite

Stroke patients often use various arm slings, but the effects of different slings on the joint kinematics and muscle activity of the arm in the gait have not been investigated. The effects of joint kinematics and muscle activity in the gait were investigated to provide suggestions for gait training for stroke patients. In all, 10 chronic stroke patients were voluntarily recruited. An eight-camera three-dimensional motion analysis system was used to measure joint kinematics while walking; simultaneously, electromyography data were collected for the anterior and posterior deltoids and latissimus dorsi. The amplitude of pelvic rotation on the less-affected side differed significantly among the different arm slings (P<0.05). Changes in the knee kinematics of the less-affected side also differed significantly (P<0.05), while there were no significant differences in the muscle activity of the affected arm. In stroke patients, an extended arm sling is more useful than no sling or a flexed arm sling in terms of the amplitude of the rotation of the less-affected pelvic side in the stance phase while walking. The less-affected knee joint is flexed more without a sling than with any sling. All arm slings support the extension of the contralateral knee.

show abstract

“…The authors of the studies were contacted for additional information when necessary. The risk of bias in the included trials was assessed through the Physiotherapy Evidence Database (PEDro) scale, which is widely used to assess the risk of bias in randomized controlled trials 16 .…”

Section: Methodsmentioning

confidence: 99%

Effect of arm sling application on gait and balance in patients with post-stroke hemiplegia: a systematic review and meta-analysis

Lin

Liao

et al. 2021

Sci Rep

View full text Add to dashboard Cite

Hemiplegic shoulder pain and impairment are common poststroke outcomes, for which arm slings constitute long-used treatments. Although multiple studies have suggested association between gait pattern and sling application, results have varied. Accordingly, we conducted this meta-analysis to determine how arm sling use affects the gait and balance of patients with poststroke hemiplegia. The PubMed, Embase, and Cochrane Library databases were searched until April 21, 2021, for randomized or quasi-randomized controlled trials evaluating the effect of arm slings on gait or balance in patients with poststroke hemiplegia. The primary outcome was walking speed; the secondary outcomes were functional balance tests or walking evaluation parameters for which sufficient analytical data were available in three or more studies. Nine studies with a total of 235 patients were included, all of which were within-patient comparisons. Six studies reported significant between-group differences in walking speed with and without the use of arm slings. Patients wearing arm slings had higher walking speed (standardized mean difference = − 0.31, 95% confidence interval [CI] = − 0.55 to − 0.07, P = 0.01, n = 159; weighted mean difference = − 0.06, 95% CI − 0.10 to − 0.02, P = 0.001, n = 159). Our findings suggest that arm sling use improves gait performance, particularly walking speed, in patients with poststroke hemiplegia.

show abstract

The Effects of Shoulder Slings on Balance in Patients With Hemiplegic Stroke

Cited by 14 publications

References 23 publications

Effect of Arm Sling on Postural Stability in Stroke Patients

Effect of Arm Sling on Postural Stability in Stroke Patients

Changes in gait kinematics and muscle activity in stroke patients wearing various arm slings

Effect of arm sling application on gait and balance in patients with post-stroke hemiplegia: a systematic review and meta-analysis

Contact Info

Product

Resources

About