Case Report
Year: 2023 | Month: August | Volume: 13 | Issue: 8 | Pages: 89-92
DOI: https://doi.org/10.52403/ijhsr.20230814
Combined Effect of Exercise and Orthotic Intervention in Case of Right Hemiparesis with Glenohumeral Subluxation - A Case Report
Janmejaya Prasad Nayak1, Prakash Sahoo2, Debidarshini Sahoo3, Sasmita Behera4, Deepak Sahoo5
1Demonstrator, NIEPMD, Chennai, Tamil Nadu, India
2Demonstrator, NILD, Kolkata, India
3Physiotherapist, CIRS, Odisha, India
4Orthotist, NIMAHNS, Bengaluru, Karnataka, India
5Director, CIRS, Odisha, India
Corresponding Author: Janmejaya Prasad Nayak
ABSTRACT
Background: Stroke (Cerebrovascular accident [CVA]) is the sudden loss of neurological function caused by an interruption of the blood flow to the brain. The evidence of occurrence of shoulder subluxation in stroke survivors varies from 17–66%. GHS usually develops immediately after stroke
Case Description and Methods: A 40-year-old male having right hemiparesis due to CVA reported at SVNIRTAR after the proper assessment, the patient was treated with Physiotherapy treatment along with Bo bath Axilla Roll. The pre and post data were captured.
Findings and Outcomes: The Fugl-Meyer score of patients was improved from 0 to 20. There was also a significant improvement in Brunnstrom stage. Patient was also able to perform half of shoulder range of motion exercise in synergy pattern. There is significant improvement in reduction of shoulder subluxation and prevention of further increase in intra-articular mobility
Conclusion: Physiotherapy treatment along with orthotic intervention is paramount in case of shoulder subluxation.
Key words: Hemiparesis, Shoulder Subluxation, Exercises, Bobath Axilla Roll.