Monday 5 March 2018

Evidence for your Practice: Modified wheelchair arm-support to reduce shoulder pain in stroke patients

Article for Review:
Pan, R., Zhou, M., Cai, H., Guo, Y., Zhan, L., Li, M., ... & Chen, H. (2017). A randomized controlled trial of a modified wheelchair arm-support to reduce shoulder pain in stroke patients. Clinical Rehabilitation, 0269215517714830.

This study aimed to evaluate the effect of modified wheelchair arm-support to mitigate hemiplegic shoulder pain and reduce pain frequency in stroke patients.This support consisted of a board designed to support the arm, with a thick handle equipped at the end of the board which could be held by hand. The primary outcome measure was the Visual Analogue Pain Scale or Numeric Pain Rating Scale.

Conclusion:
Patients who received a modified arm support experienced less pain than the control group at 4 and 12 weeks. Using the modified wheelchair arm-support could lead to the mitigation of hemiplegic shoulder pain and reduction in pain incidence in stroke patients. It may also improve the patients’ quality of life.

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