Subluxation of Inferior Shoulder
Conditions
Keywords
Stroke, subluxation
Brief summary
california tri-pull taping (CTPT) method might be effective in reducing shoulder subluxation, pain, and improving active flexion range (AFLXN) range of motion, and functional recovery after stroke.
Detailed description
All the experimental group participants will receive conventional neuro rehabilitation for 45 minutes along with California tri-pull taping on the subluxed extremity. Lead researcher applied the CTPT method. The tape was applied as following manner. Before the first intervention day, participants with hair on their shoulder or upper arm were asked to shave the area. Two types of tape was used, a self-adhesive 1.5 cotton undercover tape and a 1 rigid strapping tape. Participants placed their affected arm on a supporting surface to better approximate the humeral head back into the glenoid fossa. The three pieces of rigid tape were applied to the patient's shoulder on top of the already applied self-adhesive cotton tape. The first piece (medial) was applied from 1.5 below the deltoid tuberosity running straight up the middle of the arm to 2 above the top of the glenoid fossa between the clavicle and the spine of the scapula. The second piece (posterior) was located from 1.5 below the deltoid tuberosity to 1.5 above the middle of the spine of the scapula. The medial border of this second piece ran along the acromial process. Last, the third piece (anterior) was located from 1.5 below the deltoid tuberosity to run around the front of the humeral head and over the coracoid process, up to 1.5 above the clavicle. The tape will removed and new tape applied every Monday, Wednesday, and Friday and remained on the patient for 6 consecutive weeks. Following the 6 weeks, each patients of both group was individually re-assessed and evaluated the effect of intervention and parameters were recorded. The recording and measurement obtained before and after intervention was subjected to statistical analysis and the result of that interpreted to obtain the significance of study.
Interventions
OTHERconventional neuro rehabilitation programme
All the conventional group subjects were received standardized conventional neuro rehabilitation programme. The conventional neuro rehabilitation treatment includes, active, and passive range of motion exercise, bilateral activation of pectoralis major, activation of latissimus dorsa, activation of the retractors, weight bearing exercise of upper extremity, activation of supraspinatus, reaching activities, grasping, holding and release, and activity of daily living (ADL) activities. Every participant was received conventional neuro rehabilitation for 45 minutes and 5 days a week.
OTHERCalifornia tri-pull taping (CTPT)
Two types of tape was used, a self-adhesive 1.5 cotton undercover tape and a 1 rigid strapping tape. Participants placed their affected arm on a supporting surface to better approximate the humeral head back into the glenoid fossa. The three pieces of rigid tape were applied to the patient's shoulder on top of the already applied self-adhesive cotton tape.
Sponsors
Maharishi Markendeswar University (Deemed to be University)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
35 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
1. Acute stroke. 2. A minimum of 5 mm (0.2 in) shoulder subluxation in the involved upper extremity. 3. Mini mental status examination (MMSE) score \>23. 4. Age (35-70 yrs.) and of either sex. 5. Brunnstroms stage 1 and 2. -
Exclusion criteria
1. Mini mental status examination (MMSE) score \<23. 2. Other musculoskeletal disorder of the affected upper extremity. 3. History of trauma to the affected upper extremity. 4. Hyper or hypo sensitivity disorders. 5. Any skin allergy. 6. Brunnstorm's stage 3 and 4. 7. Individual affected from neurological disorder other than stroke. 8. Un-cooperative patients. 9. Individuals with psychosomatic disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Digital Vernier caliper. | 6 month | Digital Vernier caliper (Aerospace super) is used to measure the accromion- humeral distance in shoulder subluxation patients. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Universal Goniometer | 6 month | Universal Goniometer is used to measure the active shoulder flexion range of motion (AFLXN). The measurement is taken in lying position. |
| Fugl-Meyer scale (FUG) | 6 month | FUG scale was used to measure the upper extremity motor recovery. |
| Visual analogue scale (VAS) | 6 month | VAS was used to measure the post stroke shoulder subluxation pain. |
Countries
India
Outcome results
None listed