Supportive devices for preventing and treating subluxation of the shoulder after stroke.

@article{Ada2005SupportiveDF,
  title={Supportive devices for preventing and treating subluxation of the shoulder after stroke.},
  author={Louise Ada and Anchalee Foongchomcheay and Colleen G. Canning},
  journal={The Cochrane database of systematic reviews},
  year={2005},
  volume={1},
  pages={
          CD003863
        }
}
BACKGROUND Supportive devices such as slings, wheelchair attachments and orthoses have been used to treat subluxation of the shoulder after stroke. OBJECTIVES To investigate the effect of supportive devices in preventing subluxation, re-positioning the head of humerus in the glenoid fossa, decreasing pain, increasing function and adversely increasing contracture in the shoulder after stroke. SEARCH STRATEGY We searched the Cochrane Stroke Group Trials Register (last searched on 22 March… Expand
Rehabilitation methods for reducing shoulder subluxation in post-stroke hemiparesis: a systematic review*
TLDR
No technique could effectively reduce the subluxation and facilitate the upper limb recovery and future trials using more precise and valid tool such as ultrasonography are also needed. Expand
Shoulder orthoses for the prevention and reduction of hemiplegic shoulder pain and subluxation: systematic review
TLDR
Findings suggest that applying an orthosis to an already subluxed shoulder immediately reduced vertical subluxation on X-ray but improvements were not maintained when orthosis was removed, suggesting that orthoses may reduce pain and are well-tolerated with prolonged use. Expand
REVIEWING THE ROLE OF SUPPORTIVE DEVICES FOR THE TREATMENT OF HEMIPLEGIC SHOULDER PAIN
TLDR
There is some evidence that strapping delays the onset of hemiplegic shoulder pain if applied within 24 hour post hemip Legia, except strapping which was found to be the most effective support in the acute stage of Hemiplegia. Expand
A new orthosis for subluxed, flaccid shoulder after stroke facilitates gait symmetry: a preliminary study.
TLDR
The well-tolerated shoulder orthosis improved gait quality and repositioned the subluxated humeral head, offered a good fit, and eased performing activities, but did not reduce pain. Expand
Orthotic devices after stroke and other non-progressive brain lesions.
TLDR
A lower limb orthosis can improve walking and balance but the included studies have only examined the immediate effects while wearing the orthosis; the effects of long-term use have not been investigated. Expand
Functional orthosis in shoulder joint subluxation after ischaemic brain stroke to avoid post-hemiplegic shoulder–hand syndrome: a randomized clinical trial
TLDR
The orthosis examined in this trial has been successfully shown to reduce and prevent the development of clinical symptoms of shoulder–hand syndrome. Expand
A New Shoulder Orthosis to Dynamically Support Glenohumeral Subluxation
TLDR
A shoulder orthosis based on two statically balanced springs that support the shoulder of patients with glenohumeral subluxation that have residual shoulder muscle force that could have a significant impact on the shoulder function. Expand
Shoulder strapping for stroke-related upper limb dysfunction and shoulder impairments: systematic review.
TLDR
There is insufficient evidence of efficacy or inefficacy with shoulder paralysis but shoulder strapping demonstrated minimal adverse effects and should be rigorously tested with shoulder paresis as well as paralysis after stroke. Expand
Current and Future Interventions for Glenohumeral Subluxation in Hemiplegia Secondary to Stroke
TLDR
Before percutaneous implantable neuromuscular electrical stimulation, there was no evidence for any treatment to provide relief for chronic hemiplegic shoulder pain from glenohumeral subluxation. Expand
The Use of a Dynamic Elastomeric Fabric Orthosis to Manage Painful Shoulder Subluxation: A Case Study
TLDR
The case report provides a brief account of a young man with a painful subluxed shoulder as a result of a manual handling injury and it is proposed that this intervention may be a useful adjunct to the management of this recurring clinical problem. Expand
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Evidence supports the use of electrical stimulation early after stroke for the prevention of, but not late after Stroke for the reduction of, shoulder subluxation. Expand
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The effectiveness and specificity of shoulder support to decrease subluxation after hemiplegia is supported and the mean horizontal difference between the Harris hemisling and the Bobath sling was significant. Expand
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Reductions in shoulder subluxation may occur spontaneously only when significant motor recovery of the affected upper limb occurs and is associated with increases in the range of motion of shoulder abduction. Expand
Biomechanical Analysis of Four Supports for the Subluxed Hemiparetic Shoulder
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TLDR
The biomechanical analysis of four support systems is reported; two shoulder support systems, a Bobath axillary roll, and a laptray, to provide therapists information to help them understand effective supports for subluxation. Expand
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TLDR
The results of this study demonstrate the benefits of the Bobath shoulder roll and the Henderson shoulder ring in the management of hemiplegic patients with subluxated shoulders. Expand
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TLDR
Once the subluxed shoulder is proven to be the cause of pain, the Varney brace is an excellent orthosis for the reduction and maintenance of position. Expand
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TLDR
Although the measurements used in this study were reliable, they did not support the association of shoulder subluxation with shoulder pain in stroke patients, and Clinicians wishing to reduce shoulder pain with stroke patients should direct their treatment accordingly. Expand
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