title: Effects of scapulohumeral rehabilitation protocol on trunk control recovery in patients with subacute stroke: A pilot randomized controlled trial.
abstract: BACKGROUND
  Despite upper limb rehabilitation is widely investigated in patients with stroke, the effects of scapulohumeral rehabilitation on trunk stabillization are mainly unknown.
  
  
  OBJECTIVE
  To test the effects of scapulohumeral rehabilitation protocol on trunk control recovery in patients with subacute stroke.
  
  
  METHODS
  A pilot randomized controlled trial with two groups of 14 patients each one performing 20 minutes per day, 5 days a week, for 6 weeks in add on to standard therapy. Experimental group performed a specific scapulohumeral rehabilitation protocol aiming to improve trunk competencies whereas control group performed conventional arm rehabilitation. Clinical scale tests and accelerometric evaluations were performed pre- and post-treatment.
  
  
  RESULTS
  Experimental groups showed better scores at discharge at Trunk impairment Scale (p < 0.001), Barthel Index (p = 0.024), Trunk Control Test (p = 0.002), Sitting Balance Scale (p = 0.002), but neither at Fugl-Meyer Scale (p = 0.194) nor Modified Ashworth Scale (p = 0.114). Accelerometric analysis showed higher stability of trunk for experimental group especially during static and dynamic items.
  
  
  CONCLUSIONS
  The recovery of scapulohumeral functions also acts on trunk stabilization post-stroke.
authors.affiliation: Università di Roma Tor Vergata, Rome, Italy.
authors.forename: Daniela
authors.initials: D
authors.lastname: Dell'Uomo
authors.affiliation: IRCCS Fondazione Santa Lucia, Rome, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Morone
authors.affiliation: Corso di Laurea in Fisioterapia, Università di Roma Tor Vergata, sede Fondazione Santa Lucia, Rome, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Centrella
authors.affiliation: IRCCS Fondazione Santa Lucia, Rome, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Paolucci
authors.affiliation: Università di Roma Tor Vergata, Rome, Italy.|IRCCS Fondazione Santa Lucia, Rome, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Caltagirone
authors.affiliation: IRCCS Fondazione Santa Lucia, Rome, Italy.
authors.forename: Maria Grazia
authors.initials: MG
authors.lastname: Grasso
authors.affiliation: IRCCS Fondazione Santa Lucia, Rome, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Traballesi
authors.affiliation: IRCCS Fondazione Santa Lucia, Rome, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Iosa
mesh_terms: D061725:Accelerometry / Q000379:methods; D000368:Aged; D005081:Exercise Therapy / Q000379:methods; D005260:Female; D006801:Humans; D006811:Humerus / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D015915:Motion Therapy, Continuous Passive / Q000379:methods*; D010865:Pilot Projects; D020127:Recovery of Function / Q000502:physiology*; D012540:Scapula / Q000502:physiology*; D020521:Stroke / Q000175:diagnosis / Q000503:physiopathology*; D000071939:Stroke Rehabilitation / Q000379:methods*; D060726:Torso / Q000502:physiology; D016896:Treatment Outcome
keywords: Scapulohumeral rehabilitation; accelerometry; rehabilitation; stroke; trunk stability