Effect of shoulder girdle strengthening on trunk alignment in patients with stroke

DOI Web Site 被引用文献3件 参考文献28件
  • Awad Amina
    Faculty of Physical Therapy, Cairo University: Cairo, Egypt
  • Shaker Hussien
    Faculty of Physical Therapy, Cairo University: Cairo, Egypt
  • Shendy Wael
    Faculty of Physical Therapy, Cairo University: Cairo, Egypt
  • Fahmy Manal
    Department of Neurology, Faculty of Medicine, Cairo University, Egypt

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[Purpose] This study investigated the effect of shoulder girdle strengthening, particularly the scapular muscles, on poststroke trunk alignment. [Subjects and Methods] The study involved 30 patients with residual hemiparesis following cerebrovascular stroke. Patient assessment included measuring shoulder muscle peak torque, scapular muscles peak force, spinal lateral deviation angle, and motor functional performance. Patients were randomly allocated either to the control group or the study group and received an 18-session strengthening program including active resisted exercises for shoulder abductors and external rotators in addition to trunk control exercises. The study group received additional strengthening exercises for the scapular muscles. [Results] The two groups showed significant improvement in strength of all shoulder and scapular muscles, with higher improvement in the study group. Similarly, the lateral spinal deviation angles significantly improved in both groups, with significantly higher improvement in the study group. Transfer activity, sitting balance, upper limb functions, and hand movements significantly improved in the two groups, with higher improvement in the latter two functions in the study group. [Conclusion] Strengthening of shoulder girdle muscles, particularly scapular muscles, can significantly contribute to improving the postural alignment of the trunk in patients with poststroke hemiparesis.

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