du.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Neuromuskulär elektrisk stimulering (NMES) som komplement under stabilitetsträning efter axelluxation: En interventionsstudie
Dalarna University, School of Education, Health and Social Studies, Caring Science.
Dalarna University, School of Education, Health and Social Studies, Caring Science.
2019 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Neuromuscular electrical stimulation (NMES) as a complement during stabilizing exercise after shoulder dislocation : An intervention study (English)
Abstract [sv]

Bakgrund: Axelluxation är den mest förekommande axelskadan i Sverige där individen kan utveckla axelinstabilitet till följd av recidiverande axelluxationer. Den vanligaste konservativa behandlingen är stabilitetsträning för rotatorcuffens muskulatur samt skapulakontroll. Tidigare studier har undersökt effekten av Neuromuskulär elektrisk stimulering (NMES) som komplement under träning av bland annat armbågs- och knäled, men oss veterligen har ingen tidigare studie undersökt denna effekt för axelinstabilitet.

Syfte: Att genom en pilotstudie utvärdera effekten av NMES som ett komplement under stabilitetsträning avseende självskattad axelrelaterad livskvalité för vuxna individer med historia av recidiverande axelluxationer. Vidare syftades att utvärdera genomförbarheten av studieupplägget.

Metod: Elva individer rekryterades varav sex stycken matchades till interventionsgruppen och resterande fem till kontrollgruppen. Träningsinterventionen pågick under sex veckor och omfattade tolv träningspass. Interventionsgruppen använde NMES som ett komplement under konventionell stabilitetsträning medan kontrollgruppen genomförde samma träning utan NMES. Deltagarnas självskattade axelrelaterade livskvalité mättes före och efter träningsinterventionen genom det validerade utvärderingsinstrumentet Western Ontario Shoulder Instability Index (WOSI). Efter träningsinterventionen analyserades mellan- och inomgruppsskillnader med hjälp av Mann-Whitney U-test respektive Wilcoxon signed-rank test.

Resultat: Det fanns ingen skillnad avseende total WOSI-score mellan grupperna före (p = 0,47) eller efter (p = 0,36) träningsinterventionen. En förbättring över tid, alltså efter interventionen jämfört med före sågs i total WOSI-score (p = 0,028) inom interventionsgruppen, medan ingen förbättring hittades inom kontrollgruppen (p = 0,89).

Slutsats: Förbättringen hos interventionsgruppen indikerar att NMES under konventionell stabilitetsträning kan vara ett effektivt alternativ för individer med axelinstabilitet, men ytterligare studier krävs för att verifiera NMES-träningens positiva effekter.

Abstract [en]

Background: Shoulder dislocation is the most frequent shoulder injury in Sweden, where an individual can develop shoulder instability as a consequence of recurrent dislocation. The commonly used conservative management is stabilizing exercises for the rotator cuff and scapular control. Prior studies have examined the effect of Neuromuscular Electric Stimulation (NMES) as a complement during exercise for the elbow and knee joint, but to our knowledge no previous study has examined the effect of NMES on shoulder instability.

Aim: Through a pilotstudie, evaluate the effect of NMES as complement during stabilizing exercise regarding self-assessed shoulder related quality of life in adults with recurrent shoulder dislocation. Furthermore, the aim was to examine the feasibility of the study design.

Method: Eleven individuals were recruited. Six of them were matched to the intervention group and the other five to the control group. The exercise intervention progressed for six weeks and included twelve exercise sessions. The intervention group used NMES as complement during conventional stabilizing exercise while the control group performed the same exercise without NMES. The participant´s self-assessed shoulder related quality of life was measured before and after the exercise intervention with the validated measure Western Ontario Shoulder Instability Index (WOSI). After the exercise intervention differences between and within groups were analyzed with Mann-Whitney U-test and Wilcoxon signedrank test.

Results: There were no difference in total WOSI-score between groups before (p = 0,47) or after (p = 0,36) the exercise intervention. An improvement over time, meaning after the intervention compared to before the intervention, was found in total WOSI-score within the intervention group (p = 0,028) while no improvement was found in the control group (p = 0,89).

Conclusion: The improvement in the intervention group indicates that NMES during conventional shoulder stabilizing exercise can be an effective alternative for individuals with shoulder instability, but further studies is required to verify the positive effects of NMESexercise.

Place, publisher, year, edition, pages
2019.
Keywords [en]
Shoulder instability, exercise intervention, shoulder related quality of life, (Western Ontario Shoulder Instability Index (WOSI), feasibility
Keywords [sv]
Axelinstabilitet, träningsintervention, axelrelaterad livskvalité, Western Ontario Shoulder Instability Index (WOSI), genomförbarhet
National Category
Other Basic Medicine
Identifiers
URN: urn:nbn:se:du-30666OAI: oai:DiVA.org:du-30666DiVA, id: diva2:1348546
Available from: 2019-09-04 Created: 2019-09-04

Open Access in DiVA

No full text in DiVA

By organisation
Caring Science
Other Basic Medicine

Search outside of DiVA

GoogleGoogle Scholar

urn-nbn

Altmetric score

urn-nbn
Total: 22 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf