Home > Journals > European Journal of Physical and Rehabilitation Medicine > Past Issues > European Journal of Physical and Rehabilitation Medicine 2017 June;53(3) > European Journal of Physical and Rehabilitation Medicine 2017 June;53(3):410-5

CURRENT ISSUE
 

ARTICLE TOOLS

Publication history
Reprints
Cite this article as

EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,827


eTOC

 

ORIGINAL ARTICLE  FREEfree


European Journal of Physical and Rehabilitation Medicine 2017 June;53(3):410-5

DOI: 10.23736/S1973-9087.17.04425-2

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

The effect of an arm sling used for shoulder support on gait efficiency in hemiplegic patients with stroke using walking aids

Yeon-Gyu JEONG 1, Yeon-Jae JEONG 2, Jung-Wan KOO 3

1 Department of Physical Therapy, Sangji University, Gangwon-do, South Korea; 2 Rehabilitation Medicine, Hanyang University Medical Center, Seoul, South Korea; 3 Department of Occupational and Environmental Medicine, College of Medicine, The Catholic University of Korea, Seoul, South Korea


FULL TEXT  


BACKGROUND: The effects of an arm sling on the physiological costs of walking are not known. Even though a previous study reported that an arm sling can improve gait efficiency, its entrance criteria was only hemiparetic patients able to walk without walking aids independently.
AIM: The aim of this study was to investigate the effect of shoulder support by an arm sling on gait efficiency in hemiplegic stroke patients using walking aids.
DESIGN: Randomized crossover design.
SETTING: Rehabilitation department of a university hospital.
POPULATION: A total of 57 hemiplegic patients with shoulder subluxation dependent on canes were grouped into single cane (N.=30) and quad cane groups (N.=27) as walking aids.
METHODS: All patients performed a walk with their own walking aid with and without an arm sling in randomized order, on the same day. We measured the energy cost and energy expenditure using a portable gas analyzer and heart rate during a 6-minutes Walk Test and a 10-m Walk Test. We analyzed all outcomes measures with and without an arm sling between the patients who were grouped according to their walking aids using 2-way repeated ANOVA.
RESULTS: The energy cost (0.068±0.023 mL/kg/m) and oxygen expenditure (8.609±2.155 mL/kg/minutes) were lower with the arm sling (P<0.05) than without the arm sling (0.074±0.029 mL/kg/m, and 9.109±2.406 mL/kg/minutes, respectively), and the walking endurance (138.942±47.043 m) were longer (P<0.05) with the arm sling among the hemiplegic patients with single cane.
CONCLUSIONS: Among the hemiplegic patients with a single cane, the walking endurance achieved with an arm sling significantly improved than those achieved without an arm sling, and the energy expenditure and energy cost was significantly lower.
CLINICAL REHABILITATION IMPACT: The hemiplegic arm support with an arm sling may be beneficial for gait efficiency in hemiplegic patients using a single cane, which lead to decreased oxygen use at a given speed.


KEY WORDS: Stroke - Gait - Hemiplegia

top of page

Publication History

Issue published online: June 15, 2017
Article first published online: January 24, 2017
Manuscript accepted: January 17, 2017
Manuscript revised: December 23, 2016
Manuscript received: July 20, 2016

Cite this article as

Jeong YG, Jeong YJ, Koo JW. The effect of an arm sling used for shoulder support on gait efficiency in hemiplegic patients with stroke using walking aids. Eur J Phys Rehabil Med 2017;53:410-5. DOI: 10.23736/S1973-9087.17.04425-2

Corresponding author e-mail

jwkoo@catholic.ac.kr