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Article

A Combination of Long-Duration Electrical Stimulation with External Shoulder Support during Routine Daily Activities in Patients with Post-Hemiplegic Shoulder Subluxation: A Randomized Controlled Study

1
Department of Rehabilitation, Bait-Balev Hospital, Bat-Yam 59315, Israel
2
Department of Physical Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa 3498838, Israel
3
Department of Physical Therapy, Recanati School for Community Health Professions, Ben-Gurion University of the Negev, Beer Sheva 8410501, Israel
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2022, 19(15), 9765; https://doi.org/10.3390/ijerph19159765
Submission received: 10 July 2022 / Revised: 31 July 2022 / Accepted: 3 August 2022 / Published: 8 August 2022

Abstract

The study objective was to determine the effect of long-duration neuromuscular electric stimulation (NMES) on shoulder subluxation and upper-extremity function during the acute post-stroke stage. Twenty-eight subjects (mean age ± standard deviation −70.0 ± 14.0 years) were randomly assigned to an experimental or to a control group receiving NMES to the supraspinatus and posterior deltoid muscles or sham treatment for 6 weeks. All the subjects continued standard rehabilitation and external shoulder support (EST). Assessments were conducted pre- and post-intervention and at a 2 week follow-up session by an assessor blind to group allocation. Outcome measures included the degree of shoulder subluxation, Fugl–Meyer assessment-upper extremity (FMA-UE) test, FMA—hand and finger subscales, Functional Independence Measure (FIM), and shoulder pain (using the Numeric Pain Rate Scale). Shoulder subluxation was significantly lower, while the FMA-UE and FMA—hand and finger subscales were significantly improved in the experimental group post-intervention and at follow-up compared to the control group. FIM at follow-up improved more in the experimental group. No change was observed in pain level in both groups. Supplementing NMES to standard rehabilitation and EST is beneficial in reducing shoulder subluxation and improving upper-extremity function. Further research is necessary to determine effect of longer treatment duration and longer follow-up periods.
Keywords: stroke; shoulder subluxation; neuromuscular electrical stimulation stroke; shoulder subluxation; neuromuscular electrical stimulation

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MDPI and ACS Style

Lavi, C.; Elboim-Gabyzon, M.; Naveh, Y.; Kalichman, L. A Combination of Long-Duration Electrical Stimulation with External Shoulder Support during Routine Daily Activities in Patients with Post-Hemiplegic Shoulder Subluxation: A Randomized Controlled Study. Int. J. Environ. Res. Public Health 2022, 19, 9765. https://doi.org/10.3390/ijerph19159765

AMA Style

Lavi C, Elboim-Gabyzon M, Naveh Y, Kalichman L. A Combination of Long-Duration Electrical Stimulation with External Shoulder Support during Routine Daily Activities in Patients with Post-Hemiplegic Shoulder Subluxation: A Randomized Controlled Study. International Journal of Environmental Research and Public Health. 2022; 19(15):9765. https://doi.org/10.3390/ijerph19159765

Chicago/Turabian Style

Lavi, Chen, Michal Elboim-Gabyzon, Yuval Naveh, and Leonid Kalichman. 2022. "A Combination of Long-Duration Electrical Stimulation with External Shoulder Support during Routine Daily Activities in Patients with Post-Hemiplegic Shoulder Subluxation: A Randomized Controlled Study" International Journal of Environmental Research and Public Health 19, no. 15: 9765. https://doi.org/10.3390/ijerph19159765

APA Style

Lavi, C., Elboim-Gabyzon, M., Naveh, Y., & Kalichman, L. (2022). A Combination of Long-Duration Electrical Stimulation with External Shoulder Support during Routine Daily Activities in Patients with Post-Hemiplegic Shoulder Subluxation: A Randomized Controlled Study. International Journal of Environmental Research and Public Health, 19(15), 9765. https://doi.org/10.3390/ijerph19159765

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