dc.contributor.author | Ada, Louise | |
dc.contributor.author | Foongchomcheay, Anchalee | |
dc.contributor.author | Langhammer, Birgitta | |
dc.contributor.author | Preston, Elisabeth | |
dc.contributor.author | Stanton, Rosalyn | |
dc.contributor.author | Paul, Serene | |
dc.contributor.author | Canning, Colleen | |
dc.date.accessioned | 2017-05-10T14:14:26Z | |
dc.date.accessioned | 2017-06-30T07:21:50Z | |
dc.date.available | 2017-05-10T14:14:26Z | |
dc.date.available | 2017-06-30T07:21:50Z | |
dc.date.issued | 2016 | |
dc.identifier.citation | Ada, Foongchomcheay, Langhammer MB, Preston, Stanton, Paul, Canning. Laptray and triangular sling are no more effective than a hemisling in preventing shoulder subluxation in those at risk early after stroke: A randomised trial. . European Journal of Physical rehabilitation medicine. 2016 | language |
dc.identifier.issn | 0014-2573 | |
dc.identifier.uri | https://hdl.handle.net/10642/5024 | |
dc.description.abstract | BACKGROUND: Shoulder subluxation is a common secondary impairment of the upper limb following stroke. A range of supportive devices are used in rehabilitation to prevent shoulder subluxation, including hemi-slings and firm supports, such as arm troughs, however, there is little evidence regarding their efficacy.
AIM: To determine whether a modified lap-tray during sitting and a triangular sling during standing is more effective than a hemi-sling in preventing shoulder subluxation, pain, contracture and upper limb activity limitation after stroke.
DESIGN: A prospective, randomised trial with concealed allocation, assessor blinding and intention-to-treat analysis.
SETTING: Three inpatient rehabilitation units in Australia and Norway.
POPULATION: Forty-six acute stroke survivors within 3 weeks of stroke who were at risk of subluxation.
METHOD: The experimental group used a modified lap-tray while sitting and a triangular sling while standing to support the affected arm for four weeks. The control group used a hemi-sling while sitting and standing. The primary outcome was amount of shoulder subluxation on X-ray. Secondary outcomes were upper limb activity, pain and contracture.
RESULTS: There was no significant difference between groups in terms of shoulder subluxation (MD -3 mm, 95% CI -8 to 3). There was a trend for the experimental group to develop less pain at rest (MD -0.7 out of 10, 95% CI -2.2 to 0.8) and during shoulder external rotation (MD -1.7 out of 10, 95% CI -3.7 to 0.3) and a trend towards having less contracture of shoulder external rotation (MD -10 deg, 95% CI -22 to 2). There was no significant difference between groups in terms of other contractures and activity of the upper limb.
CONCLUSION: A lap-tray during sitting combined with a triangular sling during standing is no more effective than a hemi-sling in preventing subluxation, pain, contracture and activity limitation in acute stroke survivors at risk of shoulder subluxation.
CLINICAL REHABILITATION IMPACT: The use of a lap-tray during sitting and triangular sling during standing is not indicated as an alternative to the hemi-sling to prevent shoulder subluxation in patients after stroke, so alternative strategies with proven efficacy, such as electrical stimulation, should be considered. | language |
dc.language.iso | en | language |
dc.publisher | Edizioni Minerva Medica | language |
dc.subject | Randomized Controlled Trial | language |
dc.subject | Stroke | language |
dc.subject | Glenohumeral Subluxation | language |
dc.subject | Physiotherapy (Techniques) | language |
dc.title | Laptray and triangular sling are no more effective than a hemisling in preventing shoulder subluxation in those at risk early after stroke: A randomised trial. | language |
dc.type | Journal article | language |
dc.type | Peer reviewed | language |
dc.date.updated | 2017-05-10T14:14:26Z | |
dc.description.version | acceptedVersion | language |
dc.identifier.doi | http://doi.org/10.23736/S1973-9087.16.04209-X | |
dc.identifier.cristin | 1298682 | |
dc.source.journal | European Journal of Physical and Rehabilitation Medicine | |