Comparison of the Effectiveness of Two Different Types of Slings in Shoulder Subluxation
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hemiplegia
- Sponsor
- Istanbul Physical Medicine Rehabilitation Training and Research Hospital
- Enrollment
- 32
- Locations
- 1
- Primary Endpoint
- Berg Balance Scale (BBS)
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
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.
Detailed Description
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.
Investigators
Eligibility Criteria
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.)
Outcomes
Primary Outcomes
Berg Balance Scale (BBS)
Time Frame: Change from Baseline Berg Balance Scale score at 8 weeks
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.
Visual analog scale (VAS)
Time Frame: Change from Baseline VAS score at 8 weeks
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.
Fugl-Meyer Assessment of Motor Recovery after Stroke
Time Frame: Change from Baseline Fugl Meyer test score at 8 weeks
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.
Barthel Index
Time Frame: Change from Baseline Barthel Index score at 8 weeks
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.