None listed
Conditions
Interventions
Intervention1: COMPREHENSIVE REHABILITATION PROGRAMME WITH AND WITHOUT BOBATH SLING: COMPREHENSIVE REHABILITATION PROGRAMME consists of:-
(a) Educational programme for participants and care-givers.
Sponsors
RG KAR MEDICAL COLLEGE AND HOSPITAL
Eligibility
Inclusion criteria
Inclusion criteria: (i) First time stroke patients with post stroke painful hemiparetic shoulder. (ii) Stable neurologic status. (iii) Sufficient cognitive function to learn. (iv) Sufficient communicative ability to engage with thetherapists/caregiver. (v) Clinical screening of affected shoulder showing palpable gap between the acromion and the humeral head supported by imaging.
Exclusion criteria
Exclusion criteria: (i) Prior shoulder disorder or surgery impairing the movement of shoulderjoints. (ii) Duration of stroke > 6months. (iii) Poor trunk control that prohibited the maintenance of an upright sittingposture. (iv) Bilateral shoulder involvement. (v) Upper limb spasticity score >3 in Modified AshworthScale. (vi) Presence contractures in affected upperlimb. (vii) Presence of Complex Regional pain Syndrome in affectedlimb. (viii) Presence ofHemineglect. (ix) Presence of significant visual, verbal or hearing impairment resulting difficulty incommunication. (x) Presence of cerebellarinvolvement. (xi) Complete flaccidity of the affected upperlimb. (xii) Patients with diagnosed Brachial plexus injury. (xiii) Bony pathology around shoulderjoints. (xiv) Presence of central pain afterstroke. (xv) Contraindication for prescribing therapeutic exercises.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Participants receiving comprehensive rehabilitation programme with Bobath shoulder sling showed a statistically significant improvement when compared to the group receiving only the comprehensive rehabilitation programme during follow up at 6 weekslder subluxation,but subsequent follow up visits showed no significant difference between the groups.Timepoint: 6weeks, 12 weeks and 24 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| At the end of the study, itra-group comparison showed significant improvement in both the groups in all the outcome parameters. Degree of gleno-humeral subluxation and shoulder pain intensity showed a significant positivecorrelation. Degree of gleno-humeral subluxation and sensorimotor recovery showed a significant negativecorrelation. Timepoint: 6weeks, 12 weeks and 24 weeks | — |
Countries
India
Contacts
Public ContactUSHNISH MUKHERJEE
RG KAR MEDICAL COLLEGE AND HOSPITAL
Outcome results
None listed