Effect of Therapeutic Shoulder Sling And Proximal Control Exercises on Shoulder Subluxation in Stroke Survivors
Keywords:Shoulder subluxation, therapeutic shoulder sling, Proximal control exercises, VAS, MAS
Background: Shoulder subluxation is the common problem as it causes shoulder pain and hinders activity
. In flaccid stage, propreoceptive impairment, lack of tone and muscle paralysis reduce the support and
normal stirring action of rotator cuff muscles particularly supraspinatus. Methods: Ethical clearance was
obtained from Institutional Ethical Comittee, KIMSDU, Karad. An Experimental study was conducted with
50 subjects .Which were divided into two groups using consecutive sampling with random allocation with
computer generated table. Group A was given conventional treatment for reducing shoulder subluxation in
stroke survivors Group B was treated with the Therapeutic shoulder sling and proximal control exercises
.The outcome measures were AP lat X-ray, VAS, Functional outcome measurement By Motor assessment
scale :Upper arm function. Results: Within the group comparison for the X-ray was done with the pair t test
which was very significant for group A with P value of 0.0301 and Extremely significant for group B with
P value ?0.0001 . within the group comparison for visual analogue scale for both the groups is extremely
significant with the p value of ?0.0001 .within the group comparison for motor assessment scale for both the
groups is extremely significant with the p value of ?0.0001 Conclusions: Therapeutic shoulder sling with
proximal control exercises shows significant reduction of subluxation in shoulder x-ray as well as it reduces
the pain and improves ADL activity.
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