Neurology Medical News about shoulder range of motion, paretic upper extremity, external rotation

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Positioning to prevent or reduce shoulder range of motion impairments after stroke: A meta-analysis
Clinical Rehabilitation, 07/31/09

Borisova Y et al. – Meta–analysis failed to support the benefit of positioning the paretic upper extremity to prevent or reduce shoulder external rotation range of motion impairments after stroke.

Methods

Study of the effectiveness of positioning on range of motion of the paretic shoulder following stroke
Data sources: PubMed, CINAHL, EMBASE, Science Citation Index, PEDro, Cochrane Controlled Trails Register and article reference lists
Independently review by 2 authors of randomized controlled trials reporting range of motion outcomes of shoulder positioning programs for stroke pts
ion of studies reporting external rotation range of motion outcomes
Rating of study quality

Results

Inclusion of 5 studies published in 2000 or later
Shoulder external rotation range of motion lost by control groups and experimental (positioning) groups in every study
Standardized mean difference between groups: – 0.216
Findings of homogeneity between and within groups do not support positioning (as practiced) as an effective intervention for preventing or slowing development of range–of–motion impairments of the paretic shoulder after stroke

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