Effect of Modified Bobath Cuff on Energy Expenditure and Fatigue during Level Surface Waking among Subjects with Hemiplegic Shoulder Subluxation: A Prospective Study

Abstract

Background: This research study aims to find the effect of modified bobath cuff on energy expenditure and fatigue during level surface walking among subjects with hemiplegic shoulder subluxation. Objective: The objective of this study is to measure the amount of energy consumption during level surface walking among hemiplegic subjects having shoulder subluxation with modified bobath cuff. The objective of this study is to measure the fatigue of hemiplegic subjects having shoulder subluxation with modified bobath cuff. Subjects and method: 30 subjects with shoulder subluxation were included in this study by a convenient sampling method. The subjects were given with a modified bobath cuff. The cardiorespiratory parameters (VO2, VCO2, and energy expenditure) were measured using COSMED k4b2 and fatigue was measured using the MFI20 questionnaire. All the measurements were acquired before the use of bobath cuff and 2 weeks following the onset of bobath cuff use. Results: There was a significant difference between in cardiorespiratory functions the two conditions following the application of bobath cuff with p<0.05. There was a significant difference in general and mental fatigue but no difference was found in physical, reduced activity, and reduced motivation. Discussion and conclusion: The modified bobath cuff is significantly efficient in terms of energy expenditure and fatigue in subjects with shoulder subluxation.