Effects of Sling-Suspension-Based Active Shoulder Joint Exercise on Shoulder Joint Subluxation, Pain, Muscle Strength, and Upper Limb Function in Patients with Subacute Stroke
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Experimental Procedure
2.3. Training Program
2.3.1. The Sling-Suspension-Based System Active Shoulder Joint Exercise
2.3.2. Motorized Upper Extremity Exercise
2.3.3. General Physical Therapy
2.3.4. Outcome Measures
2.3.5. Data Analysis
3. Results
3.1. Participant General Characteristics
3.2. Subluxation of the Shoulder Joint
3.3. Pain
3.4. Muscle Strength of the Shoulder Joint
3.5. Upper Limb Function
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Characteristics | SASE Group (n = 14) | MUEE Group (n = 14) | X2/t(p) |
---|---|---|---|
Sex (M/F) | 8/6 | 5/9 | 1.292(0.256) |
Age (years) | 59.0(17.83) a | 64.64(14.41) | 0.921(0.366) |
Height (cm) | 164.57(8.63) | 163.64(11.43) | 0.242(0.810) |
Weight (kg) | 63.71(11.11) | 61.98(10.51) | 0.425(0.675) |
Onset period (months) | 4.21(0.89) | 3.787(0.801) | 0.334(0.193) |
Lesion sites (right/left) | 6/8 | 5/9 | 0.150(0.699) |
Stroke type (ischemic/hemorrhagic) | 9/5 | 8/6 | 0.150(0.699) |
Parameters | SASE Group (n = 14) | MUEE Group (n = 14) | t(p) | Time F(p) | Group F(p) | Time–Group F(p) | |
---|---|---|---|---|---|---|---|
Subluxation (mm) | Pretest | 44.59(9.27) a | 40.03(9.28) | 1.300(0.205) | 49.578 (0.000) | 0.729 (0.401) | 6.025(0.021) |
Post-test | 36.97(6.21) | 36.35(8.03) | |||||
Mean difference | −7.61(5.66) | −3.68(1.98) | 2.313(0.038) | ||||
t(p) | −5.030(0.000) | −6.943(0.000) |
Parameters | SASE Group (n = 14) | MUEE Group (n = 14) | t(p) | Time F(p) | Group F(p) | Time–Group F(p) | |
---|---|---|---|---|---|---|---|
Splenius (kgf) | Pretest | 3.92(1.22) a | 3.85(0.74) | 0.163(0.872) | 384.345(0.000) | 0.531(0.473) | 7.470(0.011) |
Post-test | 5.84(1.42) | 5.31(0.90) | |||||
Mean difference | 1.92(0.43) | 1.45(0.48) | −2.386(0.033) | ||||
t(p) | 16.889(0.000) | 11.246(0.000) | |||||
UTZ (kgf) | Pretest | 5.30(1.60) | 5.36(1.16) | −0.125(0.902) | 323.720(0.000) | 0.312(0.581) | 9.623(0.005) |
Post-test | 7.74(1.56) | 7.08(1.33) | |||||
Mean difference | 2.44(0.76) | 1.72(0.42) | −3.812(0.022) | ||||
t(p) | 12.035(0.000) | 15.460(0.000) | |||||
IST (kgf) | Pretest | 4.27(1.39) | 3.85(0.96) | 0.913(0.370) | 451.991(0.000) | 1.088(0.307) | 1.123(0.299) |
Post-test | 6.06(1.55) | 5.47(1.13) | |||||
Mean difference | 1.79(0.45) | 1.62(0.39) | −1.652(0.112) | ||||
t(p) | 14.763(0.000) | 15.428(0.000) |
Parameters | SASE Group (n = 14) | MUEE Group (n = 14) | t(p) | Time F(p) | Group F(p) | Time–Group F(p) | |
---|---|---|---|---|---|---|---|
Flexors (kg) | Pretest | 2.17(0.74) a | 2.23(0.48) | −0.273(0.787) | 236.665(0.000) | 0.767(0.389) | 13.211(0.001) |
Post-test | 3.78(1.08) | 3.23(0.63) | |||||
Mean difference | 1.61(0.57) | 0.99(0.26) | −3.271(0.006) | ||||
t(p) | 10.469(0.000) | 14.047(0.000) | |||||
Extensors (kg) | Pretest | 2.46(1.08) | 2.52(0.63) | −0.192(0.849) | 179.055(0.000) | 0.048(0.829) | 1.930(0.177) |
Post-test | 4.03(1.52) | 3.80(0.88) | |||||
Mean difference | 1.58(0.63) | 1.28(0.50) | −1.799(0.095) | ||||
t(p) | 9.372(0.000) | 9.461(0.000) | |||||
Abductors (kg) | Pretest | 2.22(0.72) | 2.30(0.42) | −0.319(0.752) | 128.769(0.000) | 0.346(0.561) | 4.974(0.035) |
Post-test | 3.70(1.22) | 3.28(0.72) | |||||
Mean difference | 1.48(0.70) | 0.99(0.41) | −2.289(0.039) | ||||
t(p) | 7.883(0.000) | 8.971(0.000) | |||||
Adductors (kg) | Pretest | 2.80(1.01) | 3.01(0.68) | −0.633(0.523) | 170.356(0.000) | 0.104(0.749) | 0.393(0.536) |
Post-test | 4.43(1.48) | 4.49(1.18) | |||||
Mean difference | 1.63(0.63) | 1.48(0.63) | −0.751(0.466) | ||||
t(p) | 9.703(0.000) | 8.758(0.000) | |||||
External rotators (kg) | Pretest | 1.73(0.70) | 1.83(0.36) | −0.474(0.640) | 125.739(0.000) | 0.394(0.536) | 9.674(0.004) |
Post-test | 2.98(1.14) | 2.54(0.61) | |||||
Mean difference | 1.25(0.50) | 0.70(0.42) | −5.378(0.000) | ||||
t(p) | 9.347(0.000) | 6.305(0.000) | |||||
Internal rotators (kg) | Pretest | 2.42(0.93) | 2.91(0.74) | −1.526(0.139) | 232.829(0.000) | 1.591(0.218) | 0.010(0.923) |
Post-test | 4.10(1.21) | 4.56(1.19) | |||||
Mean difference | 1.68(0.46) | 1.66(0.67) | −0.094(0.927) | ||||
t(p) | 13.524(0.000) | 9.208(0.000) |
Parameters | SASE Group (n = 14) | MUEE Group (n = 14) | t(p) | Time F(p) | Group F(p) | Time–Group F(p) | |
---|---|---|---|---|---|---|---|
FMA (score) | Pretest | 13.29(6.44) a | 9.64(3.36) | 1.876(0.076) | 262.785(0.000) | 5.805(0.023) | 13.243(0.001) |
Post-test | 19.71(6.74) | 13.71(4.10) | |||||
Mean difference | 6.43(1.95) | 4.07(1.44) | −3.100(0.008) | ||||
t(p) | 12.336(0.000) | 10.585(0.000) | |||||
MFT (score) | Pretest | 6.57(5.88) | 10.79(7.68) | −1.631(0.116) | 647.498(0.000) | 1.631(0.212) | 32.286(0.000) |
Post-test | 11.07(6.32) | 13.64(7.99) | |||||
Mean difference | 4.50(0.76) | 2.86(0.77) | −6.618(0.000) | ||||
t(p) | 22.168(0.000) | 13.878(0.000) |
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Kim, Y.-J.; An, J.; Lee, B.-H. Effects of Sling-Suspension-Based Active Shoulder Joint Exercise on Shoulder Joint Subluxation, Pain, Muscle Strength, and Upper Limb Function in Patients with Subacute Stroke. Medicina 2024, 60, 1350. https://doi.org/10.3390/medicina60081350
Kim Y-J, An J, Lee B-H. Effects of Sling-Suspension-Based Active Shoulder Joint Exercise on Shoulder Joint Subluxation, Pain, Muscle Strength, and Upper Limb Function in Patients with Subacute Stroke. Medicina. 2024; 60(8):1350. https://doi.org/10.3390/medicina60081350
Chicago/Turabian StyleKim, Young-Jun, Jungae An, and Byoung-Hee Lee. 2024. "Effects of Sling-Suspension-Based Active Shoulder Joint Exercise on Shoulder Joint Subluxation, Pain, Muscle Strength, and Upper Limb Function in Patients with Subacute Stroke" Medicina 60, no. 8: 1350. https://doi.org/10.3390/medicina60081350