Acceptability of Lycra sleeve for the management of glenohumeral subluxation in people with stroke: nurses’ and therapists’ perceptions

Kumar, Praveen; Jones, Robert; Easton, Chris; Greenwood, Rosemary; Turton, Ailie

Abstract

Background: Glenohumeral subluxation (GHS)
is a common secondary complication reported in
people following stroke. The aim was to explore
the acceptability of the Lycra sleeve for GHS from
staff perspective. This was part of the feasibility
study for a future randomized controlled trial.
Method: A questionnaire survey was conducted
with the stroke pathway rehabilitation team who
were involved with treatment of 31 patients
recruited for the feasibility study. Staff received
training on the application of Lycra sleeve.
Questionnaires were tailored towards nurses and
therapists, respectively. They consisted of questions
on a 7-point Likert-type Scale and free text
boxes. Descriptive statistics and thematic analysis
of staff views of Lycra sleeve.
Results/findings: Nurses (10), Nursing assistants
(5), Physiotherapists (10), Therapy technicians (3)
and Occupational Therapists (8) provided feedback,
often for more than one patient. The majority
(80%) of responses from staff indicated that the
training was appropriate and that it was easy to
apply and take the sleeve off. The median time
taken to apply the sleeve was ⩽3 minutes. The
majority (87%) of staff responses reported no
adverse effects. Of 79 responses, marking of the
skin (2), hand pain (4), hand swelling (1), itchiness
(1) and feeling hot (1) were reported adverse
effects. The key themes reported were as follows:
limited difference between sleeve on and sleeve
off, the need for a greater range of sizes and Lycra
sleeve is acceptable, with a clear need for empirical
evidence.
Conclusion: The Lycra sleeve is an acceptable
treatment; however, evidence of effectiveness is
required for its clinical application.

• Presentation Conference Type: Poster
• Conference Name: BSRM and SRR joint Winter Conference -2019
• Start Date: Oct 14, 2019
• End Date: Oct 15, 2019
• Publication Date: Apr 4, 2020
• Deposit Date: Dec 10, 2022
• Keywords: Glenohumeral Subluxation, Lycra Arm sleeve, acceptability
• Public URL: https://uwe-repository.worktribe.com/output/10235535