Prevention of Shoulder Subluxation After Stroke With Electrical Stimulation

Completed

Phase N/A Results

Trial Description

To evaluate the effectiveness of using electrical stimulation immediately after stroke to prevent glenohumeral subluxation and prevent possible associated problems of shoulder pain and impaired motor function.

Interventions

  • Electrical stimulation Other
    Intervention Desc: This category includes any form of electrical stimulation intended to improve motor function or pain after stroke.

Trial Design

Prospective, single-blind, randomized controlled trial of 40 patients at a single center.

Patient Involvement

Patients were randomized to either the treatment or the control group. Those in the treatment group received electrical stimulation in addition to conventional physiotherapy and occupational therapy. Patients in the control group received only conventional physiotherapy and occupational therapy. All patients were assessed after 4-week treatment period. Both treatment and control groups continued with conventional physiotherapy and occupational therapy for the next 8 weeks (follow-up period). Final measurements were made 3 months after stroke. Over the follow-up period, no electrical stimulation was applied.

Outcomes

Type Measure Time Frame Safety Issue
Primary Shoulder subluxation was assessed radiologically, pain was assessed by measuring the pain-free range of passive lateral rotation (PLRL) using a clinical goniometer, where a loss of range indicated an increase in pain and by a verbal rating scale; arm girth was assessed with a tape measure wrapped around the upper arm from the axillary fold; motor control was assessed by the upper arm section of the Motor Assessment Scale.

Sponsors

Scottish Office Home and Health Department