EFFECTIVENESS OF COMPREHENSIVE THERAPEUTIC APPROACH IN THE MANAGEMENT OF SONOGRAPHIC STRUCTURAL ABNORMALITIES ASSOCIATED WITH POST STROKE SHOULDER PAIN

Dr. K. Kalyana Bharathi MPT*, Dr. P. Kiran Prakash MPT, Dr. P. Apparao MPT,PHD and Ganapathi Swamy

ABSTRACT

Background and Objective: Shoulder pain after stroke is one of the disabling complications which is associated with poor recovery of upper limb, decreased quality of life, longer hospital stay. Some Studies reported that the incidence of PSSP ranges from 16% to 84% and also researchers found that soft tissue injuries around shoulder is a primary contributor to post stroke shoulder pain. High-resolution real-time sonography has been shown to be a successful imaging technique to assess both rotator cuff and non-rotator cuff disorders. Methods: Quasi experimental study design. 60 subjects with age of above 50 years having clinical diagnosis of post stroke shoulder pain were allocated into single group. All the subjects are Pre and Post screened by Sonographic evaluation for Structural Abnormalities and SPADI assessment for Shoulder Pain, Disability. After completion of prescreening, subjects participated in Standard Rehabilitation Programme for 3 sessions per week for 8 weeks study duration. Results: In this study 60 participants completed Standard Rehabilitation training. Paired student “t” test was performed to assess the statistical difference within the group by SPADI for Shoulder Pain, Disability, structural abnormalities. Conclusion: In this present study participant has shown significant improvement in the structural abnormalities and shoulder pain, Disability scores after the 8 weeks of comprehensive therapeutic approach. So, this study concluded that comprehensive therapeutic approach was effective in the management of post stroke shoulder pain.

Keywords: Post Stroke Shoulder Pain, Standard Rehabilitation Programme, Musculoskeletal Ultrasound.