Effects of shoulder brace usage on postural stability in stroke survivors: A pilot randomized controlled trial.

IF 1.7 4区医学 Q3 CLINICAL NEUROLOGY

NeuroRehabilitation Pub Date : 2024-01-01 DOI:10.3233/NRE-230250

Giovanni Morone, Alessandro Antonio Princi, Marco Iosa, Rebecca Montemurro, Irene Ciancarelli, Paola Coiro, Danilo Lisi, Riccardo Savo, Matteo Notturno Granieri, Domenico De Angelis, Marco Tramontano

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引用次数: 0

Abstract

Background: Despite advances in stroke rehabilitation, challenges in upper limb motor recovery and postural stability persist, negatively affecting overall well-being. Arm slings and shoulder braces have been proposed to address these issues, but their efficacy in promoting postural stability remains unclear.

Objective: This pilot randomized controlled study aimed to evaluate the impact of a new shoulder brace (N1-Neurosling) on trunk postural stability during walking, pain, and upper limb muscle strength in chronic stroke survivors.

Methods: Twenty-four adult chronic stroke patients were involved and randomly assigned to the shoulder brace group (SBg) or control group (CTRLg). Were assessed at baseline (T0) and after 4 weeks (T1) through the Trunk Control Test, the Numerical Rating Scale, the Motricity Index, Manual Muscle Test, and instrumental wearable-based assessment.

Results: After 4 weeks, the SBg showed significant improvement in Trunk Control Test scores (p = 0.020) and smoothness of gait measured by log dimensionless jerk along the Antero-Posterior axis (- 5.31±0.25 vs. - 5.18±0.27, p = 0.018) compared to the CTRLg. The SBg also demonstrated a reduction in pain in the shoulder girdle and enhanced upper limb muscle strength.

Conclusion: The use of the N1-Neurosling shoulder brace led to improvements in postural stability and smoothness of gait in stroke patients.

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使用肩部支撑对中风幸存者姿势稳定性的影响：随机对照试验

背景：尽管中风康复取得了进展，但上肢运动恢复和姿势稳定性方面的挑战依然存在，对整体健康产生了负面影响。为解决这些问题，人们提出了手臂吊带和肩部支撑，但它们在促进姿势稳定性方面的功效仍不明确：本试验性随机对照研究旨在评估新型肩部支具（N1-Neurosling）对慢性中风幸存者行走时躯干姿势稳定性、疼痛和上肢肌力的影响：方法：24 名成年慢性中风患者被随机分配到肩部支撑组（SBg）或对照组（CTRLg）。在基线（T0）和 4 周后（T1），通过躯干控制测试、数字评定量表、运动指数、手动肌肉测试和基于仪器的可穿戴评估进行评估：4 周后，与 CTRLg 相比，SBg 在躯干控制测试得分（p = 0.020）和步态平滑度（通过沿前后轴的对数无量纲抽动测量）方面均有显著改善（- 5.31±0.25 vs. - 5.18±0.27，p = 0.018）。SBg 还能减轻肩部疼痛，增强上肢肌肉力量：结论：使用 N1-Neurosling 肩部支撑装置可改善中风患者的姿势稳定性和步态平稳性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

NeuroRehabilitation CLINICAL NEUROLOGY-REHABILITATION

CiteScore

3.20

自引率

0.00%

发文量

178

审稿时长

6-12 weeks

期刊介绍： NeuroRehabilitation, an international, interdisciplinary, peer-reviewed journal, publishes manuscripts focused on scientifically based, practical information relevant to all aspects of neurologic rehabilitation. We publish unsolicited papers detailing original work/research that covers the full life span and range of neurological disabilities including stroke, spinal cord injury, traumatic brain injury, neuromuscular disease and other neurological disorders. We also publish thematically organized issues that focus on specific clinical disorders, types of therapy and age groups. Proposals for thematic issues and suggestions for issue editors are welcomed.