EFFECTIVENESS OF BOBATH SLING AND REHABILITAION IN STROKE PATIENTS WITH PAINFUL SHOULDER SUBLUXATIO
- Conditions
- Health Condition 1: null- post-stroke patients with painful shoulder subluxation in a neurologically stable condition
- Registration Number
- CTRI/2018/09/015761
- Lead Sponsor
- RG KAR MEDICAL COLLEGE AND HOSPITA
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 30
(i)First time stroke patients with post stroke painful hemiparetic shoulder.
(ii)Stable neurologic status.
(iii)Sufficient cognitive function to learn.
(iv)Sufficient communicative ability to engage with thetherapists/caregiver.
(v)Clinical screening of affected shoulder showing palpable gap between the acromion and the humeral head supported by imaging.
(i)Prior shoulder disorder or surgery impairing the movement of shoulderjoints.
(ii)Duration of stroke > 6months.
(iii)Poor trunk control that prohibited the maintenance of an upright sittingposture.
(iv)Bilateral shoulder involvement.
(v)Upper limb spasticity score >3 in Modified AshworthScale.
(vi)Presence contractures in affected upperlimb.
(vii)Presence of Complex Regional pain Syndrome in affectedlimb.
(viii)Presence ofHemineglect.
(ix)Presence of significant visual, verbal or hearing impairment resulting difficulty incommunication.
(x)Presence of cerebellarinvolvement.
(xi)Complete flaccidity of the affected upperlimb.
(xii)Patients with diagnosed Brachial plexus injury.
(xiii)Bony pathology around shoulderjoints.
(xiv)Presence of central pain afterstroke.
(xv)Contraindication for prescribing therapeutic exercises.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Participants receiving comprehensive rehabilitation programme with Bobath shoulder sling showed a statistically significant improvement when compared to the group receiving only the comprehensive rehabilitation programme during follow up at 6 weekslder subluxation,but subsequent follow up visits showed no significant difference between the groups.Timepoint: 6weeks, 12 weeks and 24 weeks
- Secondary Outcome Measures
Name Time Method At the end of the study, itra-group comparison showed significant improvement in both the groups in all the outcome parameters. <br/ ><br> <br/ ><br>Degree of gleno-humeral subluxation and shoulder pain intensity showed a significant positivecorrelation. <br/ ><br> <br/ ><br>Degree of gleno-humeral subluxation and sensorimotor recovery showed a significant negativecorrelation. <br/ ><br>Timepoint: 6weeks, 12 weeks and 24 weeks