Indian Journal of Physical Medicine and Rehabilitation

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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: 00-09-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


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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