| Thanzeena.S.S1, Renjith.T.R2, Sanju Vijayan3, Jabir S4, Andrews J Milton5 Corresponding Author: 1BPT Graduate, Department of Physiotherapy, Bethany Navajeevan College of Physiotherapy, Thiruvananthapuram, Kerala, Mail id: thanzeena22@gmail.com Co-Authors: 2Assistant Professor, Bethany Navajeevan College of Physiotherapy, Thiruvananthapuram, Kerala 3BPT Graduate, Department of Physiotherapy, Bethany Navajeevan College of Physiotherapy, Thiruvananthapuram, Kerala 4Assistant Professor, Al Azhar College of Allied Health Science, Thodupuzha, Kerala 5Principal, Bethany Navajeevan College of Physiotherapy, Thiruvananthapuram, Kerala |
ABSTRACT
| Background of the Study: A male patient aged 66 year old male, came to Royal SUT Hospital with chief complaints of having severe pain and difficulty in shoulder movements in his left upper extremity for about two weeks. By checking his case sheet it was found that he had a history of stroke before one month. Method: MRI showed that it was the right MCA infarction. While he was admitted to ICU during the stroke his GCS score was E2V2M3. He was then intubated and started anticoagulation therapy. The physiotherapy interventions for the first 2 weeks include positioning, passive movements, DVT prevention, and airway clearance techniques from the third week, along with these interventions strengthening, balance and mobility training were also given. He had severe shoulder pain after one week and difficulty in shoulder movements. In the left UE, there was shoulder drooping and winging of the scapula, ROM was also decreased. Pain was assessed using VAS. For measuring shoulder subluxation, finger palpation method was used to evaluate sulcus sign. For reducing the pain and joint space related to subluxation therapeutic muscular technique of kinesio taping was applied for 4 weeks (10-12 hours per day) along with the routine conventional treatment. Result: The VAS score and sulcus sign indicates that after applying kinesio taping technique, there is marked reduction in pain and joint space in inferior shoulder subluxation. Conclusion: Based on the result of the present study it has been concluded that the kinesio taping is an effective intervention in reducing pain and joint space due to shoulder subluxation in stroke patient. |
Keywords: MCA infarction, Kinesio taping, Sulcus sign, Shoulder Subluxation, VAS
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