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The immediate effect of handling technique on range of movement in the hemiplegic shoulder
Department of Health Studies, Brunel University, Middlesex, UK Purpose: To assess the immediate effect of two different handling techniques on range of ‘exion in the hemiplegic shoulder. Method: A randomized controlled design with within-subject comparison was used. Range of shoulder ‘exion was measured using a bubble goniometer. Range of passive movement was compared as the weak arm was lifted using an ‘axilla hold’ (when the gleno-humeral joint is supported and held in external rotation) and a ‘distal hold’ (when the arm is lifted at the forearm without shoulder support). Twenty-two people with arm weakness following stroke were recruited. They were inpatients or attending a day hospital in two NHS trusts, with no previous limitation of range or function of their arm. A paired t-test was used for analysis. Results: Mean shoulder ‘exion for the axilla hold was 115.2 degrees (SD 38.45), and 97.7 degrees (SD 44.7) for the distal hold. This difference was signi"cant at p < 0.001 (95% con"dence interval (95% CI) 7.96, 26.88). Conclusions: Lifting the hemiplegic arm by holding the humerus under the axilla and maintaining external rotation produces greater range of ‘exion at the hemiplegic shoulder than a ‘distal hold’.
Clinical Rehabilitation, Vol. 16, No. 2,
137-140 (2002) |
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