A programme of static positional stretches does not reduce hemiplegic shoulder pain or maintain shoulder range of motion - a randomized controlled trial

Gustafsson, L. and McKenna, K. (2006) A programme of static positional stretches does not reduce hemiplegic shoulder pain or maintain shoulder range of motion - a randomized controlled trial. Clinical Rehabilitation, 20 4: 277-286. doi:10.1191/0269215506cr944oa


Author Gustafsson, L.
McKenna, K.
Title A programme of static positional stretches does not reduce hemiplegic shoulder pain or maintain shoulder range of motion - a randomized controlled trial
Journal name Clinical Rehabilitation   Check publisher's open access policy
ISSN 0269-2155
Publication date 2006
Sub-type Article (original research)
DOI 10.1191/0269215506cr944oa
Volume 20
Issue 4
Start page 277
End page 286
Total pages 10
Editor D. Wade
Place of publication UK
Publisher Sage
Collection year 2006
Language eng
Subject C1
110321 Rehabilitation and Therapy (excl. Physiotherapy)
Abstract Objective: To evaluate the effectiveness of a programme of static positional stretches and positioning of the stroke-affected shoulder for maintaining shoulder external rotation and decreasing hemiplegic shoulder pain. Design: Randomized controlled trial with pretest and posttest design. Setting: Inpatient rehabilitation unit. Subjects: Thirty-two participants ( 17 treatment, 15 comparison) with a first time stroke who were admitted for rehabilitation. Interventions: Treatment participants completed a programme of static positional stretches of the stroke-affected shoulder twice daily and positioned the stroke-affected upper limb in an armrest support at all other times when seated. Main measures: The main outcome measures were pain-free range of motion into external rotation, pain in the stroke-affected shoulder at rest and with movement, motor recovery and functional independence. Results: All participants demonstrated a significant loss of external rotation ( P = 0.005) with no significant group differences. All participants demonstrated a significant improvement in motor recovery ( P < 0.01) and functional independence ( P < 0.01) with no significant group differences. There were no significant effects for pain. The comparison group recorded a decrease in mean pain reported with movement from admission to discharge, and the treatment group recorded an increase. Conclusions: Participation in the management programme did not result in improved outcomes. The results of this study do not support the application of the programme of static positional stretches to maintain range of motion in the shoulder. The effect of increasing pain for the treatment group requires further investigation.
Keyword Rehabilitation
Integrated Care Pathway
Spinal-cord Injuries
Articular Index
Stroke Patients
Subluxation
Management
Scale
Q-Index Code C1

 
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