Effect of Therapeutic Shoulder Sling And Proximal Control Exercises on Shoulder Subluxation in Stroke Survivors

Abstract

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.