MUHAMMAD KHAN . NABILA SOOMRO . SABEENA JALAL
ABSTRACT | Full Text Pdf
Objectives: To assess the role of shoulder supportive devices in the treatment of hemiplegic shoulder pain. (A meta-analysis)
Data sources: Literature search has been carried out of the following databases between the period August, 2010. CINAHL, MEDLINE, PubMed, AMED, EMBASE, Science Direct, Cochrane Library, Scopus and Physiotherapy Evidence Database (PEDro). Manual search was carried out to find more articles and the reference lists of all relevant articles were considered.
Methods: Articles published in English language, hemiplegic adults, human subjects and randomised controlled trials that examined the role of supportive devices in the treatment of hemiplegic shoulder pain were included. The reviewer independently extracted the data of all included trials and the methodological quality of the studies was assessed by using the PEDro scale.
Results: 87 articles were retrieved but only 6 articles met the inclusion criteria and were included in this review. Supportive shoulder devices failed to reduce hemiplegic shoulder pain during all the stages of hemiplegia except strapping which was found to be the most effective support in the acute stage of hemiplegia.
Conclusions: There is some evidence that strapping delays the onset of hemiplegic shoulder pain if applied within 24 hour post hemiplegia.