Article

Shoulder impairments are common after stroke, resulting in reduced
upper limb function. Shoulder strapping may be beneficial as an adjunct to
conventional therapy and warrants further investigation. OBJECTIVES: To determine
i) the efficacy and ii) any adverse effects of shoulder strapping used to reduce
stroke-related upper limb and shoulder impairments and to improve function.
METHODS: Three reviewers independently searched CINAHL, Ovid MEDLINE, EMBASE,
AMED and PEDro databases and extracted data. Results were synthesized using
descriptive methods and meta-analysis and interpreted in relation to potential
risk of bias. RESULTS: Eight studies met inclusion criteria, recruiting 340
stroke participants. Studies predominantly included people with shoulder
paralysis and examined shoulder strapping within four weeks of stroke onset for
outcomes of increased upper limb function, reduced subluxation and pain.
Strapping interventions, outcomes and measures were diverse, some studies
encountered high risk of bias and findings were generally inconclusive with some
indication of benefit in terms of delaying onset of shoulder pain. CONCLUSIONS:
There is insufficient evidence of efficacy or inefficacy with shoulder paralysis
but shoulder strapping demonstrated minimal adverse effects and should be
rigorously tested with shoulder paresis as well as paralysis after stroke.

Langue : ANGLAIS