COMBINED EFFECT OF EXERCISE THERAPY AND ELECTRO THERAPEUTIC MODALITY ON SHOULDER HAND SYNDROME IN STROKE PATIENTS
DOI:
https://doi.org/10.61841/t4bj7j44Keywords:
Exercise Therapy, Electro Therapeutic Modality, Shoulder Hand Syndrome, StrokeAbstract
Objectives: The objectives of the study are to evaluate the effect of hot moist packs with exercises and transcutaneous electrical nerve stimulation(TENS) with exercises and investigate the effect of hot damp packs with exercises and transcutaneous electrical nerve stimulation with exercises on shoulder-hand condition in stroke subjects.
Methods: Ethical clearance was obtained from the ethical committee, KIMSDU, Karad. The study was conducted at the Physiotherapy Department of KIMSDU. A comparative study was done on a total of 40 subjects. they were equally divided into two groups using simple random sampling withottery method (Group A and Group B) Group A was given a hot, moist pack with exercises, and Group B was given transcutaneous electrical nerve stimulation with exercises.
Result: Statistical analysis was performed using paired t-tests and unpaired t-tests. In pre-intervention, there was no statistically significant difference seen according to p-values for Voluntary Control Grade (VCG) 0.7436, Visual Analogue Scale (VAS) 0.6092, and Shoulder Pain and Disability Index (SPADI) 0.8487 . On comparing the post-interventional values, the results between the two groups using unpaired t-test showed that there was extremely significant difference seen in p value for Voluntary control grade (VCG) 0.0002 Visual analogue scale (VAS) 0.0001 likewise, for Shoulder Pain and Disability Index (SPADI) 0.0001
Conclusion: The study concluded that thatTranscutaneous electrical nerve stimulation (TENS) and exercises are significantly effective in reducing pain and improving voluntary control in subjects with shoulder-hand syndrome.
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References
[1] O'Sullivan SB, Schmitz TJ, Fulk G. Physical rehabilitation. FA Davis; 2014; page no. 645–689.
[2] Pandian JD, Sudhan P. Stroke epidemiology and stroke care services in India. Journal of Stroke. 2013 Sep;15(3):128.
[3] Klotz T, Borges HC, Monteiro VC, Chamlian TR, Masiero D. Physiotherapy treatment in
hemiplegic shoulder pain in stroke patients-Literature Review. Fisiátrica. 2006 Apr 9;13(1):12-
6.
[4] Nora. I. Osemene, et al : The neurological complication of ischemic stroke, January 2013
[5] Musuka TD, Wilton SB, Traboulsi M, Hill MD. Diagnosis and management of acute ischemic
stroke: speed is critical. Cmaj. 2015 Sep 8;187(12):887-93.
[6] Pertoldi S, Di Benedetto P. Shoulder-hand syndrome after stroke. A complex regional pain
syndrome. 2005 Dec;41(4):283-92.
[7] Vafadar AK, Côté JN, Archambault PS. Effectiveness of functional electrical stimulation in
Improving clinical outcomes in the upper arm following stroke: a systematic review and meta-analysis. BioMed research international. 2015 Oct;2015.
[8] Faghri PD, Rodgers MM, Glaser RM, Bors JG, Ho C, Akuthota P. The effects of functional
electrical stimulation on shoulder subluxation, arm function recovery, and shoulder pain in
hemiplegic stroke patients. Archives of physical medicine and rehabilitation. 1994 Jan 1;75(1):73-9.
[9] Walsh K. Management of shoulder pain in patients with stroke. Postgraduate medical journal. 2001
Oct 1;77(912):645-9.
H, Onishi H, Ihashi K, Yagi R, Handa Y. Reduction in subluxation and improved
muscle function of the hemiplegic shoulder joint after therapeutic electrical stimulation. Journal of
Electromyography and Kinesiology. 1999 Oct 1;9(5):327-36.
A, Armağan O, Oner C. Efficiency of TENS treatment in hemiplegic shoulder pain: a
placebo-controlled study. Agri: Agri (Algoloji) Dernegi'nin The journal of the
Turkish Society of Algology. 2008 Jan;20(1):41.
A, Baribeault A, Uebelhart D, Gremion G. Shoulder pain and dysfunction in
Hemiplegia: Effects of Functional Electrical Stimulation. Archives of physical medicine and
rehabilitation. 1999 Mar 1;80(3):328-31.
III EB, Sackiriyas KS, Bains GS, Calandra G, Lobo C, Nakhro D, Malthankar G, Paul S.
A comparison of whole body vibration and moist heat on lower extremity skin temperature and skin
blood flow in healthy older individuals. Medical science monitor: international medical journal of
experimental and clinical research. 2012;18(7):CR415.
Suraj B. Kanase. Effect of electrical stimulation, hot moist pack and exercises on
shoulder-hand syndrome in stroke patients. Global journal for research analysis 7 (3), 96-98
Suraj B. Kanase. Effect of intrinsic and extrinsic muscle training on quality of hand
functions in stroke patients. Global journal for research analysis 7 (3), 42-44
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