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There is good evidence (Level 1b), to support the recommendation that functional electrical stimulation prevents shoulder subluxation in hemiplegic stroke patients,
by 0.4cm over 4 weeks.

Prepared by:

Jacqui Keys, 4th year occupational therapy student, University of Western Sydney

Date:

April 2003

Review Date:

25th April, 2005.

Clinical Question:

Does functional electrical stimulation prevent shoulder subluxation in hemiplegic stroke patients compared to conventional physiotherapy and occupational therapy?

Clinical Scenario:

N / A

Clinical Bottom Line:

The use of functional electrical stimulation resulted in significantly less shoulder subluxation than conventional physical and occupational therapy in hemiplegic stroke patients over a 4-week trial, when provided within 48 hours post-CVA. This effect was not maintained, however, once treatment ceased.

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