Sensori-Motor Recovery in Post-Stroke Shoulder Subluxation: A  Non Invasive Correlation Study

Mukherjee, Ushnish; Mishra, Swapan Kumar; Mandal, Prabir; Mandal, Subhra; Kundu, S.; Mandal, Pankaj Kumar

doi:10.16965/ijar.2020.119

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…First time stroke patients with post stroke hemiplegic shoulder, stable neurologic status with sufficient communicative ability, age between 45 years to 65 years, duration of stroke <6 weeks, clinical screening of affected shoulder showing palpable gap between the acromion and the humeral head were included. [1][2][3]…”

Section: Inclusion Criteriamentioning

confidence: 99%

A comparative study to assess the satisfaction with clinical outcome of the patients suffering from hemiplegic shoulder subluxation and undergoing rehabilitation with and without Bobath shoulder sling

Mukherjee

Kundu²,

Gulati

et al. 2020

Int J Community Med Public Health

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Background: Hemiplegic shoulder subluxation is one of the most common factor for post-stroke upper limb disability. There are various ways to assess its outcome during rehabilitation, but the assessment of patients’ satisfaction with the shoulder support is often missed. This study was done to compare those patients’ satisfaction with clinical outcome who were undergoing same rehabilitation programme for their hemiplegic shoulder subluxation with and without Bobath shoulder sling.Methods: This prospective controlled interventional study was conducted on 30 patients of both sexes within the age group of 45-65 years with hemiplegic (duration <6 weeks) gleno-humeral subluxation (GHS). Screening of GHS was done by palpation. They were randomly divided in two groups of same number (15 in each group) and put on rehabilitation protocol with group 1 receiving Bobath shoulder Sling as support for subluxed shoulder and group 2 continuing without it. Patients’ satisfaction on clinical outcome was measured with clinical global impression-improvement (CGI-I) scale. Data were collected at 6 weeks (first follow up-visit), 12 weeks (visit 2) and at the end of the study i.e. 24 weeks (visit 3).Results: Statistically significant difference (p=0.003) in mean score of CGI-I at visit 1 suggested significant improvement for group 1 but no statistically significant difference in improvement was noticed between the groups at visit 2 (p=1.000) and visit 3 (p=0.724).Conclusions: Use of support for hemiplegic shoulder is beneficial only during early days of rehabilitation, not on prolonged use.

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Section: Inclusion Criteriamentioning

confidence: 99%

A comparative study to assess the satisfaction with clinical outcome of the patients suffering from hemiplegic shoulder subluxation and undergoing rehabilitation with and without Bobath shoulder sling

Mukherjee

Kundu²,

Gulati

et al. 2020

Int J Community Med Public Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Inclusion criteria were 1) first time stroke patients with post stroke painful hemiparetic shoulder 2) stable neurologic status 3) sufficient communicative ability 4) age between 45 years to 65 years 5) duration of stroke<6weeks. [1][2][3]…”

Section: Inclusion Criteriamentioning

confidence: 99%

Sensori-motor recovery in post-stroke shoulder pain: a correlation study

Mukherjee

Kundu²,

Gulati

et al. 2020

Int J Community Med Public Health

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Background: The prevalence of pain in affected shoulder among post-stroke patients ranges from 34% to 84%. Numerous theories exist to explain the patho-mechanics behind development of Post-stroke shoulder pain, but its relationship with the sensori-motor recovery of the affected limb is still controversial. This study was conducted to detect the correlation, if any, between post-stroke shoulder pain and sensori-motor recovery of the affected upper limb. Methods: This observational longitudinal study was conducted on 73 patients of both sexes within the age group of 45-65 years having presentation of post-stroke (duration<6weeks) shoulder pain. Pain intensity was recorded in numerical rating scale (NRS). Sensorimotor recovery of the affected limb was assessed by Fugl- Meyer assessment scale of upper extremity (FMA-UE). Data were collected at the baseline (visit1), at 6 weeks (visit 2), 12 weeks (visit 3) and at the end of the study i.e., 24 weeks (visit 4). Results: Statistically significant negative correlations were found between severity of pain (assessed with NRS) and sensory-motor recovery (assessed with FMA-UE) on each visit with correlation coefficients (Spearman rho, r) being r=-0.890, p=0.000 on visit1, r=-0.685, p=0.000 on visit2, r=-0.629, p=0.000 on visit3 and r=-0.458, p=0.000 on visit 4.Conclusions: Post-stroke shoulder pain plays a significant negative role in sensori-motor recovery of the affected upper limb requiring early intervention.

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Sensori-Motor Recovery in Post-Stroke Shoulder Subluxation: A Non Invasive Correlation Study

Cited by 2 publications

References 11 publications

A comparative study to assess the satisfaction with clinical outcome of the patients suffering from hemiplegic shoulder subluxation and undergoing rehabilitation with and without Bobath shoulder sling

A comparative study to assess the satisfaction with clinical outcome of the patients suffering from hemiplegic shoulder subluxation and undergoing rehabilitation with and without Bobath shoulder sling

Sensori-motor recovery in post-stroke shoulder pain: a correlation study

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