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Multi-disciplinary Prevention Program
Sponsor: University Hospital, Bordeaux
Summary
About 70% of hemiplegic patients suffer from hemiplegic shoulder pain after stroke. This common occurrence is a cause for concern in the rehabilitation setting as it leads to impairment of functional outcomes induced by discomfort and delays in rehabilitation, important psycho-emotional repercussions as there is a correlation between upper arm pain and depression, a longer hospital stay. Poor management of hemiplegic shoulder pain can ultimately give rise to type 1 "complex regional pain syndrome" (CRPS I). There is no consensus on treatment, care pathways or useful devices for positioning acute stroke patients in the literature. Our objective is to compare the effectiveness of a new positioning procedure of the hemiplegic arm with conventional positioning (pillow and "shoulder-immobilisation" sling) in acute stroke patients. Patient's actions are focus in 4 points: * Positioning in bed, wheelchair and standing with specific materials (holds, sling in external rotation and abduction) * Be careful of shoulder's coaptation in care and functional activities (toilet, dressing, transfers) * A training of the patient and members of family on pathology, risk, use of material * Daily passive mobilisation of the upper member by a therapist.
Official title: Early Phase of Multi-disciplinary Prevention Program of Shoulder Pain Post-stroke
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
76
Start Date
2012-07-09
Completion Date
2016-08-30
Last Updated
2026-06-01
Healthy Volunteers
No
Conditions
Interventions
SYSTAM - SP-ED
* Positioning in bed, wheelchair and standing with classics materials (pillow, holds, sling) on day J0 until J7 or Exit. * Daily passive mobilisation of the upper member by a therapist. * Be careful of shoulder's coaptation in care and functional activities (toilet, dressing, transfers)
Ultrasling ER 15°Donjoy - 4P-ED
* Positioning in bed, wheelchair and standing with specific materials (holds, sling in external rotation and abduction) on day J0 until J7 or Exit. * A training of the patient and members of family on pathology, risk, use of material * Daily passive mobilization of the upper member by a therapist. * Be careful of shoulder's coaptation in care and functional activities (toilet, dressing, transfers) and active patient training for use the other side for support hemiplegic shoulder to prevent diastasis.
Locations (1)
CHU Bordeaux
Bordeaux, France