الفهرس 
Title : Effect of Peripheral Pulsed Electromagnetic Stimulation Versus Neuromuscular Stimulation on Stroke-Induced Shoulder Subluxation
abstractOnly 14 pages are availabe for public view
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Abstract
Background:Glenohumeral subluxation is an abnormal increased distance between the humeral head and the glenoid fossa post-stroke, which considered an important predictor of the upper limb recovery and increases the challenges of rehabilitation. Aim: todetermine and comparethe effects of repetitive peripheral pulsed magnetic stimulation and neuromuscular stimulation on shoulder subluxation in stroke patients. Methods: sixty stroke patients from both sexes suffering from shoulder subluxation had enrolled and allocated into three equal groups; the control group (GI) treated byaprogramof therapeutic exercises only, group (GII) treated by the same program of (GI) in addition to neuromuscular electrical stimulation and group (GIII) treated by the same program of (GI) in additionto repetitive pulsed electromagnetic stimulation. The treatment program was conducted two sessions per week for two months. Pre and post treatment assessment were done for all patients by ultrasonography, surface electromyography device, Fugl-Meyer upper extremity scale and Wong-baker facesto determine acromion greater tuberosity and acromion lesser tuberosity interval, supraspinatus and deltoid muscles thickness, supraspinatus and deltoid muscles electromyography., upper extremity function ability and pain intensity respectively .The results:A significant improvement in acromion greater tuberosity interval, function ability and pain level werefound for group (GI) post-treatment compared to pre-treatment. A significant improvement was detected in acromion greater tuberosity and acromion lesser tuberosity intervals and supraspinatus muscleactivity for group (GII) compared to group (GI) post treatment. A significant improvement was found in acromion greater tuberosity and acromion lesser tuberosity interval, supraspinatus muscles thickness, supraspinatus and deltoid muscles electromyography, upper extremity function ability and pain intensityfor group (GIII) compared to group (GI) post treatment.
Conclusion:TheRepetitive pulsed electromagnetic stimulation and neuromuscular electrical stimulation showed significant improvement in treatment of shoulder subluxation and repetitive pulsed electromagnetic stimulation showed favorable effect comparing to neuromuscular electrical stimulation in treating shoulder subluxation after stroke and other related complications as muscle paresis, shoulder pain and loss of upper extremity functions. Repetitive pulsed electromagnetic stimulationis capable of being a sufficient stimulating modality, which is applied in addition to the therapeutic exercise program