1Internee, Faculty of Physiotherapy, Krishna Institute of Medical Sciences Deemed To Be University, Karad, Maharashtra, India
2Associate Professor, Faculty of Physiotherapy, Krishna Institute of Medical Sciences Deemed To Be University, Karad, Maharashtra, India
To determine the effects of conventional therapy with positioning and shoulder isometric exercises on functional shoulder subluxation in post stroke survivors.
A total of 40 subjects were screened as per inclusion and exclusion criteria and they were briefed about the study and interventions. Informed consent was taken from the subjects initially through the neurological assessment of each subject taken as per data collection sheet. Subjects were selected by simple random sampling, lottery method & were allocated alternatively to group A and group B, who had post stroke shoulder subluxation. The amount of pain and subluxation was noted by Shoulder pain and Disability index and Sulcus sign. Subjects were selected according to the Brunnstorm stages of recovery with stage 2 and above.
The use of shoulder isometric exercises along with positioning helps in normalizing tone, reducing spasticity and to decrease the chances of reoccurrence of subluxation in upper extremity in subjects with hemiparesis. In addition, results supported that these shoulder isometric exercises given along with conventional treatment and positioning was more effective than conventional treatment alone for elbow flexors, forearm pronators, wrist flexors specifically and slightly effective for shoulder abductors & shoulder external rotators.
Isometric exercises, subluxation, tone, spasticity, sulcus sign, brunnstorm stages, stroke
