The Effectiveness of Two Different Types of Shoulder Slings in Stroke

Istanbul Physical Medicine Rehabilitation Training and Research Hospital32 enrolled

Overview

The aim of this study is to investigate the effectiveness of shoulder slings on pain, motor function, daily life and balance in acute hemiplegic patients and to investigate whether different types of slings are superior to each other.

Thirty-two patients with hemiplegic shoulder subluxation due to acute stroke were divided into two groups: shoulder supported slings and forearm supported slings. Hemiplegia rehabilitation passive and active-assistive range of motion, stretching, and neurophysiologic exercises were performed for all patients per day for 8 weeks.Pain assessment was performed with Visual Analog Scale, sensorimotor evaluation was performed with Fugl Meyer Assessment of Motor Function,daily life activities were assessed with Barthel Index, and balance was evaluated with Berg Balance Scale.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Hemiplegia Rehabilitation

Interventions

shoulder slingDEVICE

Patients were used shoulder slings

forearm slingDEVICE

Patients were used forearm slings

Eligibility

Sex: ALLMin age: 20 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Acute patients who were independent and ambulatory prior to stroke and had their first stroke attack (\<3 months) * Mini-mental Status Test (MMST) score ≥ 24, * Developing hemiplegia after stroke, standing independently for at least 2 minutes, * Lower limb being in stage 4-5 according to the Brunnstrom Approach (for ambulation and standard balance) * Upper limb being in stage 1-2 according to the Brunnstrom Approach * Spasticity 0-1+ according to Modified Ashworth scale Exclusion Criteria: * Has a neurological history other than the diagnosis of hemiplegia (Parkinson's etc.) * Having used shoulder slings and orthosis. * Having a disease that can affect balance (cranial, etc.)

Locations (1)

Istanbul Physical Medicine Rehabilitation Training and Research Hospital

Istanbul, Turkey (Türkiye)

Outcomes

Primary Outcomes

Visual analog scale (VAS)

Pain assessment was performed with Visual Analog Scale after 8-weeks after treatment. Using a ruler, the score is determined by measuring the distance (mm) on the 100-mm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-100. A higher score indicates greater pain intensity.

Time frame: Change from Baseline VAS score at 8 weeks

Fugl-Meyer Assessment of Motor Recovery after Stroke

Sensorimotor evaluation was performed with Fugl-Meyer Assessment of Motor Recovery after Stroke. Scoring is based on direct observation of performance. Scale items are scored on the basis of ability to complete the item using a 3-point ordinal scale where 0=cannot perform, 1=performs partially and 2=performs fully. The total possible scale score is 226.

Time frame: Change from Baseline Fugl Meyer test score at 8 weeks

Barthel Index

Daily life activities were assessed with Barthel Index. The minimum score is 0, which indicates complete dependency and, the maximum score is 100 indicates complete independence.

Time frame: Change from Baseline Barthel Index score at 8 weeks

Berg Balance Scale (BBS)

Balance was evaluated with Berg Balance Scale. The minimum score is 0 and, the maximum score is 56. 0-20 on the BBS represents balance impairment; 21-40 on the BBS represents acceptable balance; 41-56 on the BBS represents good balance.

Time frame: Change from Baseline Berg Balance Scale score at 8 weeks

Data from ClinicalTrials.gov

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