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VOLUME 27 , ISSUE 3 ( September, 2016 ) > List of Articles

RESEARCH ARTICLE

Study of Effectiveness of Shoulder Elbow Wrist Hand Orthosis in the Management of Glenohumeral Subluxation in Post-stroke Hemiplegic Patients

G. Sonachand Sharma, Alex T Touthang, Y. Nandabir Singh, Ak. Joy, Bimol Singh, Tamphaleima Devi

Citation Information : Sharma GS, Touthang AT, Singh YN, Joy A, Singh B, Devi T. Study of Effectiveness of Shoulder Elbow Wrist Hand Orthosis in the Management of Glenohumeral Subluxation in Post-stroke Hemiplegic Patients. Indian J Phy Med Rehab 2016; 27 (3):78-86.

DOI: 10.5005/ijopmr-27-3-78

Published Online: 01-04-2000

Copyright Statement:  Copyright © 2016; The Author(s).


Abstract

Objective

Study of effectiveness of shoulder elbow wrist hand orthosis in the management of glenohumeral subluxation in post-stroke hemiplegic patients.

Methods

Design: Randomised control trial.

Setting

Department of Physical Medicine and Rehabilitation, Regional Institute of Medical Sciences (RIMS), Imphal.

Participants

Post-stroke hemiplegic patients (n=120) having glenohumeral subluxation (GHS) as confirmed by x-ray.

Duration

One and half years (August 2010 to January 2012).

Intervention

Control group (n=60) received routine rehabilitation programme for hemiplegic practice in the Department of PMR, RIMS while the experiment group (n=60) received shoulder elbow wrist hand orthosis in addition to rehabilitation programme.

Outcomes

Grade of glenohumeral subluxation using x-ray.

Results

Experiment group showed reduction in the glenohumeral subluxation which is statistically significant when compared to control group (p<0.001).

Conclusions

Use of upper limb orthosis in addition to routine rehabilitation programme can effectively reduce glenohumeral subluxation in post-stroke hemiplegic patients.

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  1. Rehabilitation of stroke syndromes. In: Bradom LR, editor. Handbook of Physical Medicine and Rehabilitation. 2nd ed. New York: WB Saunders, 2007: 1176.
  2. Epidemiology of chronic non-communicable disease and conditions. In: Park K, editor. Park's Textbook of Preventive and Social Medicine. 19th ed. Jabalpur: Banarsidas Bhanot, 2007:314.
  3. Stroke in urban population in Calcutta -an epidemiological study. Neuroepidemiology 2001;20:201-7.
  4. Painful shoulder in hemiplegia. Arch Phys Med Rehabil 1986;46:23-6.
  5. Risk factors of hemiplegic shoulder pain in stroke patients. J Musculoskeletal Pain 1995;3:59-73.
  6. Arthrographic studies in painful hemiplegic shoulders. Arch Phys Med Rehabil 1984;65:254-6.
  7. Hemiplegic shoulder pain. Phys Ther 1986;12:184-93.
  8. Subluxation of the gleno-humeral joint in hemiplegia. Am J Phys Med 1971;50:139-43.
  9. Gleno-humeral subluxation in hemiplegia: an overview. JRRD 2005;42:557-68.
  10. Gleno-humeral joint malalignment in the hemiplegic shoulder; an early radiological sign. Scand J Rehabil Med 1984;16:133-6.
  11. How to randomise block randomisation method. BMJ 1999;319:703-5.
  12. Degree of pain and grade of subluxation in the painful hemiplegic shoulder. Scand J Rehabil Med 1988;20:161-6.
  13. Effect of a therapeutic intervention for the hemiplegic upper limb in the acute phase of stroke. A single-blinded, randomized, control multicenter trial. Stroke 1998;29:785-92.
  14. Evaluation of upper limb spasticity after stroke: a clinical and neurophysiological study. Arch Phys Med Rehabil 2005;86:410-5.
  15. Prevelence of hemiplegic shoulder pain. Indian J Phys Med Rehabil 2012;23:15-9.
  16. Evaluation and treatment of shoulder subluxation in hemiplegia: relationship between subluxation and pain. Am J Phys Med Rehabal 1998;77:421-6.
  17. Subluxation of the shoulder in hemiplegia. J A A 1975;4:10-6.
  18. Shoulder subluxation after stroke: a comparison of four supports. Arch Phys Med Rehabil 1995;76:763-71.
  19. Surgical treatment of the painful shoulder contracture in the stroke patient. J Bone Joint Surg 1971;53:1307-12.
  20. The Shoulder in Hemiplegia. 3rd ed. Philadelphia: FA Davis Co, 1980:78-86.
  21. Radiographic assessment of efficacy of slings in gleno-humeral subluxation in hemiplegia. Arch Phys Med Rehabil 1984;65:653-58.
  22. Evaluation of the effectiveness of sling and orthosis for the correction of gleno-humeral subluxation in hemiplegic. Arch Phys Med Rehabil 1984;56:635-9.
  23. Shoulder subluxation in hemiplegia: effects of 3 different supports. Arch Phy Med Rehabil 1991;72:582-6.
  24. Shoulder subluxation after stroke: a comparison of four supports. Arch Phys Med Rehabil 1995;76:765-9.
  25. Subluxation of the gleno-humeral joint in hemiplegia: evaluation of supportive devices. Physiother Can 1986; 38: 151-7.
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