Therapeutic Treatment Comparison of Humeral Cuff, Neuro Muscular Electrical Stimulation Versus Strapping in Reduction of Pain and Subluxation Gleno Humeral Stroke Survivors

Abstract

Background: Stroke is characterized by acute onset of neurological dysfunction due to abnormality in cerebral circulation with resultant signs and symptoms that correspond to involvement of the focal areas of brain. Aim: The aim of the study to identify the conventional physiotherapy, humeral cuff, neuro muscular electrical stimulation versus strapping in prevention of gleno humeral subluxation and pain in stroke survivors. Methods: This study includes 30 stroke survivors with gleno humeral subluxation and pain, who met the inclusion criteria, considered for this study. The duration of study conducted for a course of 6 weeks. The outcome used in this study pain measured by VAS and motor recovery measured through FMA. Group A undergone conventional physiotherapy, humeral cuff with strapping. Group B treatment applied conventional physiotherapy, humeral cuff with NMES. Results: The results of study shows that visual analogue scale between Group A pre mean score 7.47 and post mean score 5.20(P<0.5).Group B, pre mean score 7.60 and post mean score 3.20(P<0.5). The results of study shows that FMA between Group A pre mean score 39.33 and post mean score 46.00(P<0.5).Group B-FMA, pre mean score40.3 and post mean score 51.47 (P<0.5). Conclusion: The author concluded that both therapeutic treatment strategy of humeral cuff, neuro muscular electrical stimulation versus strapping which helps in prevention of gleno humeral subluxation and pain in stroke survivors. But statistical analysis which supports the Humeral Cuff, Neuro Muscular Electrical Stimulation is significantly better form treatment than Strapping for management of stroke survivors. This study also help to improve upper limb motor recovery, reduce pain, prevent gleno humeral subluxation, overall health, upper extremity muscular function, Gross motor and fine motor function, wellbeing, livelihood of stroke survivors.