Comparison of the Effectiveness of Two Different Types of Slings in Shoulder Subluxation After Stroke

ABS TRACT Objective:The purpose of this study is to investigate the effectiveness of shoulder slings on pain, motor function, daily life and balance in acute hemiplegic patients with shoulder subluxation and to investigate whether different types of slings are superior to each other.Material and Methods:Thirty-two patients with hemiplegic shoulder subluxation due to acute stroke were divided into 2 groups: shoulder supported slings (Group1, n=20) and forearm supported slings (Group2, n=20).Results: At the end of treatment, no significant decrease was achieved in the severity of shoulder pain in 2 groups.There was a statistical increase in BI scores and Berg Balance scores in both groups, while there was no difference between the 2 groups.There was a statistically significant increase in the Fugl Meyer score in Group 1 following treatment (3.0±3.1;p=0.007), while there was none in Group 2 (2.2±5.9;p=0.063).In the comparison of the groups, Fugl Meyer scores were significantly higher in Group 1 compared to Group 2 (p=0.048). Conclusion:It was determined that after the development of shoulder subluxation in patients with acute stroke, slings with shoulder or forearm support positively affect the balance and daily life activities of patients, and in addition, slings with shoulder were more effective in improving motor functions.