J Korean Acad Rehabil Med.  2004 Oct;28(5):494-500.

The Effect of Modified Triangular Bobath Slings on Shoulder Subluxation in Stroke Patients

• Yoon YS
• Kim JH
• Lee KA
• Lim JT
• Ohm BY
• Chang IS
• Lim HY
• Chung BH

Abstract

OBJECTIVE
To introduce a Modified triangular Bobath sling (MTBS) and a MTBS with distal support (MTBSDS) as a new slings and to compare with previous slings in the therapeutic effects of shoulder subluxation in stroke patient. METHOD: Using a simple X-ray with and without slings, the vertical and horizontal distances were measured for 17 stroke patients. MTBS and MTBSDS were compared with 3 conventional slings, which were hemisling, Bobath sling and Extension-type sling, in the effects of correction. The questionaire was used to evaluate preference of patients. RESULTS: In two developed slings, inferior subluxation showed significant correction and lateral displace was less increased than a Bobath sling although it was not statistically significant (p<0.05). MTBS had the preference during non-walking because of comfort and easiness for donning and doffing, whereas MTBSDS had the preference during walking because of reciprocal arm swing and protecting the hemiplegic upper extremity from trauma. CONCLUSION: The results indicated MTBS and MTBSDS were more effective on shoulder subluxation in stroke patients. Further study on the development of slings for decrement of lateral displacement is recommended.

Keyword

Shoulder subluxation; Modified triangular Bobath sling

MeSH Terms

Arm
Humans
Shoulder*
Stroke*
Upper Extremity
Walking