Article

OBJECTIVE: To review the evidence for the effect of functional electrical
stimulation (FES) on shoulder subluxation, pain, upper arm motor function, daily
function, and quality of life in patients with stroke when added to conventional
therapy. DATA SOURCES: PubMed, Cochrane Library, Google Scholar, and EMBASE
databases were searched for all relevant studies published before February 20, 2016.
STUDY SELECTION: Keywords included subluxation or pain, stroke or hemiplegia, and electrical stimulation or FES or NMES. Trials examining the
effect of FES on shoulder and upper arm outcomes were included. DATA EXTRACTION:
From the 1307 retrieved articles, 15 randomized controlled trials were selected
for the final analysis and were rated on the basis of the Cochrane Handbook for
Systematic Reviews of Interventions, Version 5.1.0 and Sackett's levels of
evidence. A meta-analysis was performed for all considered outcomes. DATA
SYNTHESIS: The results of this meta-analysis showed a significant difference in
shoulder subluxation between the FES group and the placebo group, only if FES was
applied early after stroke.
And a significant difference was observed
posttreatment in the Fugl-Meyer Motor Assessment between the FES group and the
placebo group. No effects were found on pain, upper arm motor function, daily
function, and quality of life outcomes. CONCLUSIONS:
FES can be used to prevent
or reduce shoulder subluxation early after stroke. However, findings did not
support the efficacy of use of FES for pain reduction, improvement in arm
strength, movement, functional use, daily function, or quality of life after stroke.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS