Effect of arm sling application on gait and balance in patients with post-stroke hemiplegia: a systematic review and meta-analysis

Abstract Hemiplegic shoulder pain and impairment are common poststroke outcomes, for which arm slings constitute long-used treatments. Although multiple studies have suggested association between gait pattern and sling application, results have varied. Accordingly, we conducted this meta-analysis to...

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Autores principales:	Lien-Chieh Lin, Chun-De Liao, Chin-Wen Wu, Shih-Wei Huang, Jia-Pei Hong, Hung-Chou Chen
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/0e06326983f749b6a762c154f528b65b
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spelling	oai:doaj.org-article:0e06326983f749b6a762c154f528b65b2021-12-02T15:49:50ZEffect of arm sling application on gait and balance in patients with post-stroke hemiplegia: a systematic review and meta-analysis10.1038/s41598-021-90602-y2045-2322https://doaj.org/article/0e06326983f749b6a762c154f528b65b2021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-90602-yhttps://doaj.org/toc/2045-2322Abstract Hemiplegic shoulder pain and impairment are common poststroke outcomes, for which arm slings constitute long-used treatments. Although multiple studies have suggested association between gait pattern and sling application, results have varied. Accordingly, we conducted this meta-analysis to determine how arm sling use affects the gait and balance of patients with poststroke hemiplegia. The PubMed, Embase, and Cochrane Library databases were searched until April 21, 2021, for randomized or quasi-randomized controlled trials evaluating the effect of arm slings on gait or balance in patients with poststroke hemiplegia. The primary outcome was walking speed; the secondary outcomes were functional balance tests or walking evaluation parameters for which sufficient analytical data were available in three or more studies. Nine studies with a total of 235 patients were included, all of which were within-patient comparisons. Six studies reported significant between-group differences in walking speed with and without the use of arm slings. Patients wearing arm slings had higher walking speed (standardized mean difference = − 0.31, 95% confidence interval [CI] = − 0.55 to − 0.07, P = 0.01, n = 159; weighted mean difference = − 0.06, 95% CI − 0.10 to − 0.02, P = 0.001, n = 159). Our findings suggest that arm sling use improves gait performance, particularly walking speed, in patients with poststroke hemiplegia.Lien-Chieh LinChun-De LiaoChin-Wen WuShih-Wei HuangJia-Pei HongHung-Chou ChenNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Lien-Chieh Lin Chun-De Liao Chin-Wen Wu Shih-Wei Huang Jia-Pei Hong Hung-Chou Chen Effect of arm sling application on gait and balance in patients with post-stroke hemiplegia: a systematic review and meta-analysis
description	Abstract Hemiplegic shoulder pain and impairment are common poststroke outcomes, for which arm slings constitute long-used treatments. Although multiple studies have suggested association between gait pattern and sling application, results have varied. Accordingly, we conducted this meta-analysis to determine how arm sling use affects the gait and balance of patients with poststroke hemiplegia. The PubMed, Embase, and Cochrane Library databases were searched until April 21, 2021, for randomized or quasi-randomized controlled trials evaluating the effect of arm slings on gait or balance in patients with poststroke hemiplegia. The primary outcome was walking speed; the secondary outcomes were functional balance tests or walking evaluation parameters for which sufficient analytical data were available in three or more studies. Nine studies with a total of 235 patients were included, all of which were within-patient comparisons. Six studies reported significant between-group differences in walking speed with and without the use of arm slings. Patients wearing arm slings had higher walking speed (standardized mean difference = − 0.31, 95% confidence interval [CI] = − 0.55 to − 0.07, P = 0.01, n = 159; weighted mean difference = − 0.06, 95% CI − 0.10 to − 0.02, P = 0.001, n = 159). Our findings suggest that arm sling use improves gait performance, particularly walking speed, in patients with poststroke hemiplegia.
format	article
author	Lien-Chieh Lin Chun-De Liao Chin-Wen Wu Shih-Wei Huang Jia-Pei Hong Hung-Chou Chen
author_facet	Lien-Chieh Lin Chun-De Liao Chin-Wen Wu Shih-Wei Huang Jia-Pei Hong Hung-Chou Chen
author_sort	Lien-Chieh Lin
title	Effect of arm sling application on gait and balance in patients with post-stroke hemiplegia: a systematic review and meta-analysis
title_short	Effect of arm sling application on gait and balance in patients with post-stroke hemiplegia: a systematic review and meta-analysis
title_full	Effect of arm sling application on gait and balance in patients with post-stroke hemiplegia: a systematic review and meta-analysis
title_fullStr	Effect of arm sling application on gait and balance in patients with post-stroke hemiplegia: a systematic review and meta-analysis
title_full_unstemmed	Effect of arm sling application on gait and balance in patients with post-stroke hemiplegia: a systematic review and meta-analysis
title_sort	effect of arm sling application on gait and balance in patients with post-stroke hemiplegia: a systematic review and meta-analysis
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/0e06326983f749b6a762c154f528b65b
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Effect of arm sling application on gait and balance in patients with post-stroke hemiplegia: a systematic review and meta-analysis

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