TY - JOUR
T1 - Parameter mapping of hemiplegic shoulder electrical stimulation for motor function
T2 - A scoping review
AU - Ito, Daisuke
AU - Kawakami, Michiyuki
AU - Kuwahara, Wataru
AU - Yamada, Yuka
AU - Kondo, Kunitsugu
AU - Tsuji, Tetsuya
N1 - Publisher Copyright:
© 2023 - IOS Press. All rights reserved.
PY - 2023
Y1 - 2023
N2 - BACKGROUND: Electrical stimulation (ES) of the shoulder is effective in treating subluxation and shoulder pain. However, few studies have reported on ES of the hemiplegic shoulder with motor function as an outcome; thus, the method remains unclear. OBJECTIVE: We aimed to map the existing evidence and identify the parameters for ES of the hemiplegic shoulder for motor function in stroke patients. METHODS: A literature search was performed through PubMed and Scopus to retrieve original articles from 1975 to March 2023 using the terms 'stroke', 'shoulder', and 'electricity'. We selected studies in which ES was performed on hemiplegic shoulders after stroke, parameters were described, and upper extremity motor functional assessment was included as an outcome. The extracted data included study design, phase, sample size, electrode position, parameters, intervention period, evaluation frequency, outcomes, and results. RESULTS: Of the 449 titles identified, 25 fulfilled the inclusion and exclusion criteria. Nineteen were randomized controlled trials. The most common electrode positions and parameters (frequency and pulse width) were over the posterior deltoid and the supraspinatus (upper trapezius) muscles, 30 Hz, and 250μs, respectively. The intervention period was 30-60 minutes per day, 5-7 days per week, for 4-5 weeks in over half of the studies. CONCLUSION: Stimulation positions and parameters for electrical stimulation of the hemiplegic shoulder are inconsistent. Whether ES represents a significant treatment option remains unclear. Establishing universal ES methods is necessary to improve the motor function of hemiplegic shoulders.
AB - BACKGROUND: Electrical stimulation (ES) of the shoulder is effective in treating subluxation and shoulder pain. However, few studies have reported on ES of the hemiplegic shoulder with motor function as an outcome; thus, the method remains unclear. OBJECTIVE: We aimed to map the existing evidence and identify the parameters for ES of the hemiplegic shoulder for motor function in stroke patients. METHODS: A literature search was performed through PubMed and Scopus to retrieve original articles from 1975 to March 2023 using the terms 'stroke', 'shoulder', and 'electricity'. We selected studies in which ES was performed on hemiplegic shoulders after stroke, parameters were described, and upper extremity motor functional assessment was included as an outcome. The extracted data included study design, phase, sample size, electrode position, parameters, intervention period, evaluation frequency, outcomes, and results. RESULTS: Of the 449 titles identified, 25 fulfilled the inclusion and exclusion criteria. Nineteen were randomized controlled trials. The most common electrode positions and parameters (frequency and pulse width) were over the posterior deltoid and the supraspinatus (upper trapezius) muscles, 30 Hz, and 250μs, respectively. The intervention period was 30-60 minutes per day, 5-7 days per week, for 4-5 weeks in over half of the studies. CONCLUSION: Stimulation positions and parameters for electrical stimulation of the hemiplegic shoulder are inconsistent. Whether ES represents a significant treatment option remains unclear. Establishing universal ES methods is necessary to improve the motor function of hemiplegic shoulders.
KW - Stroke
KW - electricity
KW - rehabilitation
KW - review
KW - shoulder
UR - http://www.scopus.com/inward/record.url?scp=85166740977&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85166740977&partnerID=8YFLogxK
U2 - 10.3233/NRE-220301
DO - 10.3233/NRE-220301
M3 - Review article
C2 - 37424478
AN - SCOPUS:85166740977
SN - 1053-8135
VL - 53
SP - 19
EP - 32
JO - NeuroRehabilitation
JF - NeuroRehabilitation
IS - 1
ER -