The immediate effect of handling technique on range of movement in the hemiplegic shoulder

Tyson, S; Chissim, C

Abstract

Purpose: To assess the immediate effect of two different handling techniques on range of flexion in the hemiplegic shoulder.
Method: A randomized controlled design with within-subject comparison was used. Range of shoulder flexion was measured using a bubble goniometer. Range of passive movement was compared as the weak arm was lifted using an ‘axilla hold’ (when the gleno-humeral joint is supported and held in external rotation) and a ‘distal hold’ (when the arm is lifted at the forearm without shoulder support). Twenty-two people with arm weakness following stroke were recruited. They were inpatients or attending a day hospital in two NHS
trusts, with no previous limitation of range or function of their arm. A paired t-test was used for analysis.
Results: Mean shoulder flexion for the axilla hold was 115.2 degrees (SD 38.45), and 97.7 degrees (SD 44.7) for the distal hold. This difference was significant at p < 0.001 (95% confidence interval (95% CI) 7.96, 26.88).
Conclusions: Lifting the hemiplegic arm by holding the humerus under the axilla and maintaining external rotation produces greater range of flexion at the hemiplegic shoulder than a ‘distal hold’.

Citation

Tyson, S., & Chissim, C. (2002). The immediate effect of handling technique on range of movement in the hemiplegic shoulder. Clinical Rehabilitation, 16, 137-140. https://doi.org/10.1191/0269215502cr480oa

• Journal Article Type: Article
• Publication Date: Jan 1, 2002
• Deposit Date: Mar 12, 2010
• Journal: Clinical Rehabilitation
• Print ISSN: 0269-2155
• Publisher: SAGE Publications
• Peer Reviewed: Peer Reviewed
• Volume: 16
• Pages: 137-140
• DOI: https://doi.org/10.1191/0269215502cr480oa
• Publisher URL: http://dx.doi.org/10.1191/0269215502cr480oa