Article

OBJECTIVES: To examine the effectiveness of neuromuscular electrical stimulation
(NMES) for the management of shoulder subluxation after stroke including
assessment of short (1 hour or less) and long (more than one hour) daily
treatment duration. DATA SOURCES: MEDLINE, CENTRAL, CINAHL, WOS, KoreaMed, RISS
and reference lists from inception to January 2017 Review methods : We considered
randomized controlled trials that reported neuromuscular electrical stimulation
for the treatment of shoulder subluxation post-stroke. Two reviewers
independently selected trials for inclusion, assessed trial quality, and
extracted data. RESULTS: Eleven studies were included (432 participants); seven
studies were good quality, four were fair. There was a significant treatment
effect of neuromuscular electrical stimulation for reduction of subluxation for
persons with acute and subacute stroke (SMD:-1.11; 95% CI:-1.53, -0.68) with
either short (SMD:-0.91; 95% CI:-1.43, -0.40) or long (SMD:-1.49; 95% CI:-2.31,
-0.67) daily treatment duration. The effect for patients with chronic stroke was
not significant (SMD:-1.25; 95% CI:-2.60, 0.11). There was no significant effect
of neuromuscular electrical stimulation on arm function or shoulder pain.
CONCLUSION: This meta-analysis suggests a beneficial effect of neuromuscular
electrical stimulation, with either short or long daily treatment duration, for
reducing shoulder subluxation in persons with acute and subacute stroke. No
significant benefits were observed for persons with chronic stroke or for
improving arm function or reducing shoulder pain.

Langue : ANGLAIS