What is the role of strapping in the prevention of hemiplegic shoulder pain?

Updated: Feb 08, 2019
  • Author: Robert Gould, DO; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

Answer

Strapping also has been studied as a means for shoulder support. Theoretically, it should support the glenohumeral joint or reduce subluxation while allowing the upper extremity to move freely.

A study by Hanger and colleagues concluded that strapping the shoulder did not significantly preserve ROM or reduce the prevalence of subluxation over a 6-week trial, even when done concomitantly with standard physical therapy. [7] There was a trend toward improved pain and shoulder function, but it was not found to be statistically significant. These researchers also found that the presence of neglect or sensory loss at baseline was associated with poor outcome.

Other literature suggests that strapping has potential for reducing the incidence or the severity of hemiplegic shoulder pain, but those studies were small or uncontrolled. Hanger and coauthors also expressed that there are different strapping techniques that may be more effective than the one they used. [7]


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