Sensori-motor Recovery In Post-stroke Shoulder Subluxation: A Non Invasive Correlation Study
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Date
2020-04
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IMED Research Publications
Abstract
Background: Stroke is the most common neurological condition causing long term disabilities in various ways.Post-stroke shoulder subluxation, mainly the Gleno-humeral Subluxation (GHS) of the affected side is oftendetected as a complication. Numerous theories exist to explain the pathomechanics of developing GHS,butstudies regarding its relationship with the sensori-motor recovery of the affected limb is still controversial.Aim of Study: To ascertain the correlation between Gleno-humeral subluxation with sensori-motor recovery ofthe affected upper limb following stroke.Method: This correlation study was conducted on 30 patients of both sexes within the age group of 45-65 yearswith post-stroke (duration < 6weeks) Gleno-humeral subluxation( GHS). Screening of GHS was done by palpationand degree of GHS was quantified by High resolution USG by measuring the Acromion - Greater TuberosityDistance difference (AGTDD) between two shoulders. Sensorimotor recovey of the affected limb was assessed byFugl - Meyer Assessment Scale of Upper Extremity (FMA-UE). Data collected at the baseline (visit1), at 6 weeks(visit 2), 12 weeks (visit 3) and at the end of the study i.e 24 weeks (visit 4).Results: Pearson Correlation (r) in all visits (V1: r=-0.926, p=0.000. V2: r=- 0.947, p=0.000. V3: r=- 0.912, p=0.000.V4: r=- 0.924, p=0.000) established a statistically significant negative correlation between degree of shouldersubluxation and sensory-motor recovery.Conclusion: Post-stroke GHS is a significant complication which undoubtedly plays a cardinal negative roleduring sensori-motor recovery of the affected upper limb.KEY WORDS: Gleno-humeral subluxation (GHS), Acromion-Greater Tuberosity Distance difference (AGTDD),
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Mukherjee Ushnish, Mishra, Swapan Kumar, Mandal, Prabir, Mandal, Subhra, Kundu, Sourav, Mandal, Pankaj Kumar.
Citation
Ushnish Mukherjee, Mishra Swapan Kumar, Mandal Prabir, Mandal Subhra, Sourav Kundu, Mandal Pankaj Kumar. Sensori-motor Recovery In Post-stroke Shoulder Subluxation: A Non Invasive Correlation Study. International Journal of Anatomy and Research. 2020 Apr; 2: 7418-7423