A randomized crossover study of elbow-forearm support and traditional shoulder sling in the treatment of shoulder subluxation after stroke
10.3760/cma.j.issn.0254-1424.2023.05.007
- VernacularTitle:肘前臂托和传统肩吊带治疗脑卒中后肩关节半脱位的随机交叉研究
- Author:
Hanbo CHEN
1
;
Xiao LYU
;
Tiebin YAN
;
Lijuan DING
;
Hanbo LIN
;
Si CHEN
;
Qiuxia LIAO
Author Information
1. 广东三九脑科医院康复治疗科，广州 510510
- Keywords:
Elbow forearm support;
Stroke;
Shoulder subluxation;
Patient satisfaction
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2023;45(5):418-422
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the immediate effectiveness of elbow forearm support with that of a traditional shoulder sling in reducing glenohumeral subluxation (GHS) after a stroke.Methods:Eight stroke survivors with GHS were randomized to receive either 30 minutes of intervention of an elbow forearm support treatment or a traditional shoulder sling treatment twice within 24 hours. Their healthy and affected shoulders were X-rayed before and right after the treatment is ongoing as well as after the end of the 30 min of treatment. The vertical (VD) and horizontal (HD) distances from the lower edge of the acromion to the center of the humeral head were measured. The satisfaction of the patients and their relatives was surveyed.Results:The average VD and HD improved significantly more after wearing the elbow forearm support. Moreover, the patients and their relatives expressed greater satisfaction with the elbow forearm support.Conclusion:Either an elbow forearm support or a traditional shoulder sling will have an immediate effect in reducing shoulder subluxation, but the elbow forearm support is more effective and gives greater satisfaction.
