The immediate effect of handling technique on range of movement in the hemiplegic shoulder

Tyson, S and Chissim, C 2002, 'The immediate effect of handling technique on range of movement in the hemiplegic shoulder' , Clinical Rehabilitation, 16 , pp. 137-140.

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Purpose: To assess the immediate effect of two different handling techniques on range of flexion in the hemiplegic shoulder. Method: A randomized controlled design with within-subject comparison was used. Range of shoulder flexion 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 flexion 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 significant at p < 0.001 (95% confidence 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 flexion at the hemiplegic shoulder than a ‘distal hold’.

Item Type: Article
Themes: Subjects / Themes > R Medicine > R Medicine (General)
Health and Wellbeing
Schools: Schools > School of Health and Society > Centre for Health Sciences Research
Journal or Publication Title: Clinical Rehabilitation
Publisher: Sage
Refereed: Yes
ISSN: 0269-2155
Depositing User: Users 29196 not found.
Date Deposited: 12 Mar 2010 10:04
Last Modified: 27 Aug 2021 22:14

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