HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Submit a response Alert me when this article is cited Alert me when Rapid Responses are posted Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Baker, L. L Articles by Parker, K. Search for Related Content PubMed PubMed Citation Articles by Baker, L. L Articles by Parker, K. Social Bookmarking                      What's this?

Neuromuscular Electrical Stimulation of the Muscles Surrounding the Shoulder

Lucinda Baker is Assistant Professor, Department of Physical Therapy, University of Southern California, 12933 Erickson, Downey, CA 90242 (USA), and Consulting Neurophysiologist for the Rancho Los Amigos Rehabilitation Engineering Center, Downey, CA 90242.
Karen Parker is Physical Therapy Supervisor I, Rancho Los Amigos Medical Center, Downey, CA 90242.

Neuromuscular electrical stimulation (NMES) can be used to augment range-of-motion, strengthening, and facilitation treatment programs of the muscles surrounding the shoulder. The purposes of this article are 1) to describe the uses of NMES around the shoulder joint as developed through our clinical use and 2) to detail the effects of an NMES program on chronic shoulder subluxation as determined by a clinical study. Because of the complexities of this multiarticular joint, NMES is most useful in the initial phase of the ROM, and stimulated contractions are compromised, relatively, as the humerus moves above the 90-degree horizontal plane. The use of NMES to provide scapular stabilization often entails unwanted alteration of the pressures on the spinal column, occasionally making the treatment program unusable. Electrical stimulation to prevent or correct shoulder subluxation, especially in the neurologically involved patient, provides the therapist with a powerful new treatment technique. In a group of stroke patients, shoulder subluxation was reduced significantly (p < .05) at the completion of a six-week NMES program. Some of the problems, and possible solutions, unique to the development of electrical stimulation programs for the shoulder muscles are discussed.

Key Words: Electric stimulation • Physical therapy • Shoulder dislocation • Shoulder joint

CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				R P. Van Peppen, G Kwakkel, S Wood-Dauphinee, H J. Hendriks, P. J Van der Wees, and J Dekker The impact of physical therapy on functional outcomes after stroke: what's the evidence? Clinical Rehabilitation, August 1, 2004; 18(8): 833 - 862. [Abstract] [PDF]

				C. Peterson The Use of Electrical Stimulation and Taping to Address Shoulder Subluxation for a Patient With Central Cord Syndrome Physical Therapy, July 1, 2004; 84(7): 634 - 643. [Abstract] [Full Text] [PDF]

				G. J Renzenbrink and M. J Ijzerman Percutaneous neuromuscular electrical stimulation (P-NMES) for treating shoulder pain in chronic hemiplegia. Effects on shoulder pain and quality of life Clinical Rehabilitation, April 1, 2004; 18(4): 359 - 365. [Abstract] [PDF]

				L. Turner-Stokes and D. Jackson Shoulder pain after stroke: a review of the evidence base to inform the development of an integrated care pathway Clinical Rehabilitation, March 1, 2002; 16(3): 276 - 298. [Abstract] [PDF]

				I. A. K. Snels, H. Beckerman, J. J. ten Kate, G. J. Lankhorst, and L. M. Bouter Measuring Subluxation of the Hemiplegic Shoulder: Reliability of a Method Neurorehabil Neural Repair, September 1, 2001; 15(3): 249 - 254. [Abstract] [PDF]

				C I. Price and A D Pandyan Electrical stimulation for preventing and treating post-stroke shoulder pain: a systematic Cochrane review Clinical Rehabilitation, January 1, 2001; 15(1): 5 - 19. [Abstract] [PDF]

				I. A. Snels, H. Beckerman, G. J Lankhorst, and L. M Bouter Treatment of hemiplegic shoulder pain in the Netherlands: results of a national survey Clinical Rehabilitation, January 1, 2000; 14(1): 20 - 27. [Abstract] [PDF]

				G. Alon, A. Dar, D. Katz-Behiri, H. Weingarden, and R. Nathan Efficacy of a Hybrid Upper Limb Neuromuscular Electrical Stimulation System in Lessening Selected Impairments and Dysfunctions Consequent to Cerebral Damage Neurorehabil Neural Repair, January 1, 1998; 12(2): 73 - 79. [Abstract] [PDF]

				C. Partridge, S. Edwards, R. Mee, and H. van Langenberghe Hemiplegic shoulder pain: a study of two methods of physiotherapy treatment Clinical Rehabilitation, February 1, 1990; 4(1): 43 - 49. [Abstract] [PDF]

				C. W Roy Review articles : Shoulder pain in hemiplegia: a literature review Clinical Rehabilitation, February 1, 1988; 2(1): 35 - 44. [PDF]