A comparative study to assess the satisfaction with clinical outcome of the patients suffering from hemiplegic shoulder subluxation and undergoing rehabilitation with and without Bobath shoulder sling
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20205002Keywords:
Clinical global impression-improvement scale, Hemiplegic shoulder subluxationAbstract
Background: Hemiplegic shoulder subluxation is one of the most common factor for post-stroke upper limb disability. There are various ways to assess its outcome during rehabilitation, but the assessment of patients’ satisfaction with the shoulder support is often missed. This study was done to compare those patients’ satisfaction with clinical outcome who were undergoing same rehabilitation programme for their hemiplegic shoulder subluxation with and without Bobath shoulder sling.
Methods: This prospective controlled interventional study was conducted on 30 patients of both sexes within the age group of 45-65 years with hemiplegic (duration <6 weeks) gleno-humeral subluxation (GHS). Screening of GHS was done by palpation. They were randomly divided in two groups of same number (15 in each group) and put on rehabilitation protocol with group 1 receiving Bobath shoulder Sling as support for subluxed shoulder and group 2 continuing without it. Patients’ satisfaction on clinical outcome was measured with clinical global impression-improvement (CGI-I) scale. Data were collected at 6 weeks (first follow up-visit), 12 weeks (visit 2) and at the end of the study i.e. 24 weeks (visit 3).
Results: Statistically significant difference (p=0.003) in mean score of CGI-I at visit 1 suggested significant improvement for group 1 but no statistically significant difference in improvement was noticed between the groups at visit 2 (p=1.000) and visit 3 (p=0.724).
Conclusions: Use of support for hemiplegic shoulder is beneficial only during early days of rehabilitation, not on prolonged use.
Metrics
References
Stein J, Brandstater ME. Stroke Rehabilitation. In: Frontera WR, Delisa JA, eds. DeLisa’s Physical Medicine and Rehabilitation Principle And Practice. 5th edn. Philadelphia PA, USA: Lipincott Williams and Wilkins, a Wolters Kluwer Business; 2010:551-571.
Harvey RL, Roth EJ, Yu DT, Celnick P. Stroke Syndromes. In: Braddom RL, ed. Physical Medicine and Rehabilitation. 4th edn. Philadelphia PA: Elsevier Saunders; 2011:1177-1213.
Mukherjee U, Mishra SK, Mandal P, Mandal S, Kundu S, Mandal PK. Sensori-motor recovery in post-stroke shoulder subluxation: a non invasive correlation study. Int J Anat Res. 2020;8(2.1):7418- 23.
Paci M, Nannetti L, Rinaldi L A. Glenohumeral subluxation in hemiplegia: an overview. J Rehab Res Develop. 2005;42(4):557-68.
Jung KM, Choi JD. The effects of active shoulder exercise with a sling suspension system on shoulder subluxation, proprioception, and upper extremity function in patients with acute stroke. Med Sci Monit. 2019;25:4849.
Nadler M, Pauls MM. Shoulder orthoses for the prevention and reduction of hemiplegic shoulder pain and subluxation: systematic review. Clin Rehab. 2017;31(4):444-53.
Paci M, Nannetti L, Taiti P, Baccini M, Pasquini J, Rinaldi L. Shoulder subluxation after stroke: relationships with pain and motor recovery. Physiotherap Res Int. 2007;12(2):95-104.
Arya KN, Pandian S, Vikas, Puri V. Rehabilitation methods for reducing shoulder subluxation in post-stroke hemiparesis: a systematic review. Top Stroke Rehab. 2018;25(1):68-81.
Guy W, ed. ECDEU Assessment Manual for Psychopharmacology. Rockville, MD: U.S. Department of Health, Education, and Welfare; 1976.
Widar M, Ahlstrom G, Ek AC. Health-related quality of life in persons with long-term pain after a stroke. J Clin Nurs. 2004;13:497-505.
Downloads
Published
How to Cite
Issue
Section
