Is a Lycra sleeve an acceptable treatment for glenohumeral subluxation in people with stroke: Patients, clinicians and family members’ perspectives

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

Abstract

Background:
Glenohumeral subluxation (GHS) is a common post-stroke complication reported to occur in up to 81% of patients. It presents considerable challenges to the rehabilitation of the upper limb; impeding recovery of shoulder function. There is limited evidence to support the effectiveness of current approaches for management of GHS. Wearing a Lycra sleeve on the affected arm has shown promise for reducing GHS in our small preliminary studies involving people with chronic stroke (n=5; n=6)
Aims: The primary aim of this feasibility study is to explore the acceptability of Lycra sleeves as a treatment, applied early after stroke, from the point of view of patients’, carers and ward staff. We will also test acceptability of some outcome measures of upper limb movement, pain and spasticity, for use in a future trial.
Methods: In this prospective cohort study, we aim to recruit 50 patients from an acute stroke ward and rehabilitation unit. Patients aged over 18 years; with a first stroke resulting shoulder muscle strength ≤2 on Medical Research Council scale, medically stable and able to provide informed written consent will be included. Patients will be randomised to immediate Lycra sleeve use or delayed Lycra sleeve application (after 3 months) groups. After three months of intervention patients, carers and staff will be asked to complete a questionnaire to determine the acceptability of the Lycra sleeve intervention.
Outcome measures: will be completed before application of the sleeve and three months later.
Results: Ethical Approval Received. Data collection Underway

• Presentation Conference Type: Poster
• Start Date: Feb 6, 2018
• Publication Date: Jan 1, 2018
• Peer Reviewed: Peer Reviewed
• APA6 Citation: Kumar, P., Jones, R., Easton, C., & Turton, A. (2018, February). Is a Lycra sleeve an acceptable treatment for glenohumeral subluxation in people with stroke: Patients, clinicians and family members’ perspectives. Poster presented at Society for Research in Rehabilitation, 40th Anniversary
• Keywords: Lycra sleeve, glenohumeral subluxation, stroke, patients perspectives
• Additional Information: Title of Conference or Conference Proceedings : Society For Research in Rehabilitation