Article

OBJECTIVE: To examine the efficiency of electrical stimulation in combination
with Bobath techniques in the prevention of inferior and anterior shoulder
subluxation in acute stroke patients. A prospective randomized controlled
trial. Intensive care unit and inpatient clinics of neurology in a
university hospital. Forty-eight patients with acute stroke, divided
equally into control and study groups. INTERVENTION:
Subjects in both groups were
treated in accordance with the Bobath concept during the early hospitalization
period. In addition to Bobath techniques, electrical stimulation was also applied
to the supraspinatus muscle,
mid and posterior portions of the deltoid muscle of
patients in the study group. MAIN MEASURES: Two radiological methods were used to
measure the horizontal, vertical and total asymmetry and vertical distance values
of the shoulder joint. Motor functions of the arm were evaluated with the Motor
Assessment Scale. RESULTS: The hospitalization period was 12.62 +/- 2.24 days for
the control group and 11.66 +/- 1.88 days for the study group. Shoulder
subluxation occurred in 9 (37.5%) subjects in the control group, whereas it was
not observed in the study group. All shoulder joint displacement values were
higher in the control group than in the study group (horizontal asymmetry P = 0.0001, vertical asymmetry P = 0.0001, total asymmetry P = 0.0001, vertical range P = 0.002). CONCLUSION: Application of electrical stimulation combined with the
Bobath approach proved to be efficient in preventing inferior and anterior
shoulder subluxation in the acute stages of stroke.

Langue : ANGLAIS