Continuous passive motion improves shoulder joint integrity following stroke
- PMID: 16180594
- DOI: 10.1191/0269215505cr901oa
Continuous passive motion improves shoulder joint integrity following stroke
Abstract
Objective: In a pilot study of patients with a first stroke and hemiparesis, we sought to determine whether treatment of the upper limb with continuous passive motion (CPM) that was device delivered would alter impairment, disability or the associated adverse symptoms of shoulder joint instability, pain and tone.
Design: Patients were randomly assigned to receive daily CPM treatments or participate in self-range of motion groups under the supervision of an occupational therapist. All patients received standard daily poststroke therapy for 3.5 h per day. A blinded evaluator at admission and discharge assessed patients using standardized scales of impairment, disability and adverse symptoms.
Setting: Specialized stroke unit of an acute rehabilitation hospital.
Subjects: Two hundred and eighty consecutive patients were screened and 35 of these with a first unilateral stroke, 13 +/- 6 days following the acute event, provided informed consent and were randomly assigned to CPM treatment or supervised group self-range exercise.
Main measures: Thirty-two completed the study and were evaluated using standardized measures for motor impairment (Fugl-Meyer, Motor Status Scale and Medical Research Council Motor Power), adverse symptoms (gleno-humeral stability, pain and tone), and disability (Functional Independence Measure).
Results: CPM-treated patients demonstrated positive trends towards improved shoulder joint stability (p = 0.06, confidence interval -0.03, 2.3) when compared with patients performing therapist-supervised self-range of motion. There were no significant differences in motor impairment, disability, pain or tone.
Conclusions: Device-delivered continuous passive range of motion may offer an enhanced benefit for some adverse symptom reduction in the hemiplegic arm after stroke over traditional self-range of motion exercise.
Similar articles
-
Robotic-Assisted Shoulder Rehabilitation Therapy Effectively Improved Poststroke Hemiplegic Shoulder Pain: A Randomized Controlled Trial.Arch Phys Med Rehabil. 2019 Jun;100(6):1015-1022. doi: 10.1016/j.apmr.2019.02.003. Epub 2019 Mar 13. Arch Phys Med Rehabil. 2019. PMID: 30878496 Clinical Trial.
-
Left-sided hemiparesis, pain frequency, and decreased passive shoulder range of abduction are predictors of long-lasting poststroke shoulder pain.PM R. 2012 Aug;4(8):561-8. doi: 10.1016/j.pmrj.2012.04.007. Epub 2012 Jun 29. PM R. 2012. PMID: 22749605
-
Robotic-assisted rehabilitation of the upper limb after acute stroke.Arch Phys Med Rehabil. 2007 Feb;88(2):142-9. doi: 10.1016/j.apmr.2006.10.032. Arch Phys Med Rehabil. 2007. PMID: 17270510 Clinical Trial.
-
Robotics and other devices in the treatment of patients recovering from stroke.Curr Atheroscler Rep. 2004 Jul;6(4):314-9. doi: 10.1007/s11883-004-0064-z. Curr Atheroscler Rep. 2004. PMID: 15191707 Review.
-
Hemiplegic shoulder pain: implications for occupational therapy treatment.Can J Occup Ther. 2004 Feb;71(1):36-46. doi: 10.1177/000841740407100108. Can J Occup Ther. 2004. PMID: 15015899 Review.
Cited by
-
Design methodology of portable upper limb exoskeletons for people with strokes.Front Neurosci. 2023 Mar 16;17:1128332. doi: 10.3389/fnins.2023.1128332. eCollection 2023. Front Neurosci. 2023. PMID: 37008203 Free PMC article. No abstract available.
-
How Can We Use the Promoting Action on Research in Health Services (PARIHS) Framework to Move from What We Know to What We Should Do for the Rehabilitation of a Painful Hemiplegic Shoulder (PHS)?J Multidiscip Healthc. 2022 Dec 14;15:2831-2843. doi: 10.2147/JMDH.S392376. eCollection 2022. J Multidiscip Healthc. 2022. PMID: 36540858 Free PMC article.
-
Passive mobilisation of the shoulder in subacute stroke patients with persistent arm paresis: A randomised multiple treatment trial.S Afr J Physiother. 2022 Feb 21;78(1):1589. doi: 10.4102/sajp.v78i1.1589. eCollection 2022. S Afr J Physiother. 2022. PMID: 35281779 Free PMC article.
-
Impact of the robotic-assistance level on upper extremity function in stroke patients receiving adjunct robotic rehabilitation: sub-analysis of a randomized clinical trial.J Neuroeng Rehabil. 2022 Feb 25;19(1):25. doi: 10.1186/s12984-022-00986-9. J Neuroeng Rehabil. 2022. PMID: 35216603 Free PMC article. Clinical Trial.
-
Data-Driven Classification of Human Movements in Virtual Reality-Based Serious Games: Preclinical Rehabilitation Study in Citizen Science.JMIR Serious Games. 2022 Feb 10;10(1):e27597. doi: 10.2196/27597. JMIR Serious Games. 2022. PMID: 35142629 Free PMC article.
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical