PMID- 26815548
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20160129
LR  - 20181113
IS  - 1863-9933 (Print)
IS  - 1863-9933 (Linking)
VI  - 39
IP  - 6
DP  - 2013 Dec
TI  - Computerized dynamic posturography analysis of balance in individuals with a 
      shoulder stabilization sling.
PG  - 635-9
LID - 10.1007/s00068-013-0309-z [doi]
AB  - INTRODUCTION: Sling immobilization of the upper limb may affect balance. 
      Computerized dynamic posturography (CDP) provides a validated, objective 
      assessment of balance control and postural stability under dynamic test 
      conditions. We tested the balance of individuals with a shoulder stabilization 
      sling (SSS) using an EquiTest machine to objectively assess imbalance while 
      wearing a sling. METHODS: Forty-two right hand dominant (RHD) adults (16 females, 
      26 males; average age 22 years; range 20-35 years) were included in the study, 
      comprising six controls and two SSS groups with 18 dominant hands (DH) and 18 non 
      dominant hands (NDH). CDP assessed balance by the Sensory Organization Test 
      (SOT), Motor Control Test (MCT), and Adaptation Test (ADT). RESULTS: The 
      composite equilibrium scores (CES) were as follows: controls 80.8 %, sling DH 
      71.1 versus sling NDH 69.6 %. Sling use has lower CES compared to controls 
      (p = 0.025). The use of a sling caused 31 % of subjects to have decreased CES. 
      22.9 % of sling users had imbalances. Among sling users, the DH group had 19.1 % 
      imbalances compared to 26.8 % for the NDH group (p = 0.044). There were six 
      absolute falls in the DH group versus 12 in the NDH group. CONCLUSIONS: Wearing a 
      sling causes balance decompensation in almost one-third of healthy volunteers, 
      and this is greater when worn in the non dominant hand, with double the number of 
      falls. This has significant implications for patients having prolonged use of a 
      sling. Consideration should be given to operative procedures or conservative 
      management of shoulder pathology where sling use is required and promotion of the 
      early discontinuation of sling use can be considered.
FAU - Lui, D F
AU  - Lui DF
AD  - Department of Trauma and Orthopaedics, Beaumont Hospital, Beaumont, Dublin 9, 
      Ireland. darrenflui@gmail.com.
FAU - Memon, A
AU  - Memon A
AD  - Department of Trauma and Orthopaedics, Beaumont Hospital, Beaumont, Dublin 9, 
      Ireland.
FAU - Kwan, S
AU  - Kwan S
AD  - Department of Trauma and Orthopaedics, Beaumont Hospital, Beaumont, Dublin 9, 
      Ireland.
FAU - Mullett, H
AU  - Mullett H
AD  - Department of Trauma and Orthopaedics, Beaumont Hospital, Beaumont, Dublin 9, 
      Ireland.
LA  - eng
PT  - Journal Article
DEP - 20130628
PL  - Germany
TA  - Eur J Trauma Emerg Surg
JT  - European journal of trauma and emergency surgery : official publication of the 
      European Trauma Society
JID - 101313350
OTO - NOTNLM
OT  - Adaption Test
OT  - Balance
OT  - Computerized dynamic posturography
OT  - EquiTest
OT  - Motor Control Test
OT  - Sensorimotor test
OT  - Shoulder stabilization sling
EDAT- 2013/12/01 00:00
MHDA- 2013/12/01 00:01
CRDT- 2016/01/28 06:00
PHST- 2012/11/19 00:00 [received]
PHST- 2013/06/10 00:00 [accepted]
PHST- 2016/01/28 06:00 [entrez]
PHST- 2013/12/01 00:00 [pubmed]
PHST- 2013/12/01 00:01 [medline]
AID - 10.1007/s00068-013-0309-z [pii]
AID - 10.1007/s00068-013-0309-z [doi]
PST - ppublish
SO  - Eur J Trauma Emerg Surg. 2013 Dec;39(6):635-9. doi: 10.1007/s00068-013-0309-z. 
      Epub 2013 Jun 28.