SENSORI-MOTOR RECOVERY IN POST-STROKE SHOULDER SUBLUXATION: A NON INVASIVE CORRELATION STUDY

Ushnish Mukherjee, Senior Medical Officer GR-III, Department of Physical Medicine & Rehabilitation(PM&R), MR Bangur SSH, Kolkata-33, West Bengal(WB), India., Swapan Kumar Mishra, Prabir Mandal, Subhra Mandal, Sourav Kundu, Pankaj Kumar Mandal, Associate Professor, Department of PM&R, North Bengal Medical College, WB, India., Senior Medical Officer GR-I, Department of PM&R, MR Bangur SSH, Kolkata, WB, India., Professor & HOD, Department of Anatomy, Diamond Harbour Medical College, WB, India., DTO, Paschim Bardhaman, Department of Health & Family Welfare, Swasthya Bhawan, WB, India., Professor & HOD, Department of PM&R, R G Kar Medical College & Hospital, Kolkata, WB, India.
2020 International Journal of Anatomy and Research  
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 often detected as a complication. Numerous theories exist to explain the pathomechanics of developing GHS,but studies 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
more » ... eral subluxation with sensori-motor recovery of the affected upper limb following stroke. Method: This correlation study was conducted on 30 patients of both sexes within the age group of 45-65 years with post-stroke (duration < 6weeks) Gleno-humeral subluxation( GHS). Screening of GHS was done by palpation and degree of GHS was quantified by High resolution USG by measuring the Acromion -Greater Tuberosity Distance difference (AGTDD) between two shoulders. Sensorimotor recovey of the affected limb was assessed by Fugl -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 shoulder subluxation and sensory-motor recovery. Conclusion: Post-stroke GHS is a significant complication which undoubtedly plays a cardinal negative role during sensori-motor recovery of the affected upper limb.
doi:10.16965/ijar.2020.119 fatcat:yeolp3pbp5cspfmcrdxpportkq