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IJAR.2020.119

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Type of Article:  Original Research

Volume 8; Issue 2.1 (April 2020)

Page No.: 7418-7423

DOI: https://dx.doi.org/10.16965/ijar.2020.119

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

Ushnish Mukherjee 1, Swapan Kumar Mishra *2, Prabir Mandal 3, Subhra Mandal 4, Sourav Kundu 5, Pankaj Kumar Mandal 6.

1 Senior Medical Officer GR-III, Department of Physical Medicine & Rehabilitation(PM&R), MR Bangur SSH, Kolkata-33, West Bengal(WB), India.

*2 Associate Professor, Department of PM&R, North Bengal Medical College, WB, India.

3  Senior Medical Officer GR-I, Department of PM&R, MR Bangur SSH, Kolkata, WB, India.

4  Professor & HOD, Department of Anatomy, Diamond Harbour Medical College, WB, India.

5  DTO, Paschim Bardhaman, Department of Health & Family Welfare, Swasthya Bhawan, WB, India.

6 Professor & HOD, Department of PM&R, R G Kar Medical College & Hospital, Kolkata, WB, India.

Corresponding Author: Dr. Swapan Kumar Mishra, Associate Professor,Department of PM&R, North Bengal Medical College, Sushrutanagar, Darjeeling, India. phone-8585046797.

E-Mail: docpmr@yahoo.com

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 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 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.

Key words: Gleno-humeral subluxation (GHS), Acromion-Greater Tuberosity Distance difference (AGTDD), Fugl-Meyer Assessment Scale of Upper Extremity (FMA-UE).

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Cite this article: Ushnish Mukherjee, Swapan Kumar Mishra, Prabir Mandal, Subhra Mandal, Sourav Kundu, Pankaj Kumar Mandal. SENSORI-MOTOR RECOVERY IN POST-STROKE SHOULDER SUBLUXATION: A NON INVASIVE CORRELATION STUDY. Int J Anat Res 2020;8(2.1):7418-7423. DOI: 10.16965/ijar.2020.119