Study of Effectiveness of Shoulder Elbow Wrist Hand Orthosis in the Management of Glenohumeral Subluxation in Post-stroke Hemiplegic Patients

Abstract

Abstract Objective Study of effectiveness of shoulder elbow wrist hand orthosis in the management of glenohumeral subluxation in post-stroke hemiplegic patients. Methods Design: Randomised control trial. Setting Department of Physical Medicine and Rehabilitation, Regional Institute of Medical Sciences (RIMS), Imphal. Participants Post-stroke hemiplegic patients (n=120) having glenohumeral subluxation (GHS) as confirmed by x-ray. Duration One and half years (August 2010 to January 2012). Intervention Control group (n=60) received routine rehabilitation programme for hemiplegic practice in the Department of PMR, RIMS while the experiment group (n=60) received shoulder elbow wrist hand orthosis in addition to rehabilitation programme. Outcomes Grade of glenohumeral subluxation using x-ray. Results Experiment group showed reduction in the glenohumeral subluxation which is statistically significant when compared to control group (p<0.001). Conclusions Use of upper limb orthosis in addition to routine rehabilitation programme can effectively reduce glenohumeral subluxation in post-stroke hemiplegic patients.