Effectiveness of passive scapular mobilization on pain and shoulder control in neglected stroke survivors.

Pratiksha Gawande; Dr. G. Varadhrajulu; Akhilesh Bivalkar; Mandar Malawade

Volume : VII, Issue : III, March - 2018

Effectiveness of passive scapular mobilization on pain and shoulder control in neglected stroke survivors.

Pratiksha Gawande, Dr. G. Varadhrajulu, Akhilesh Bivalkar, Mandar Malawade

Abstract :

Background: The purpose of this study was to assess the effectiveness of passive scapular mobilization on pain and shoulder control in neglected stroke survivors.

Method: 50 neglected stroke survivors having shoulder pain were included in this study. Following the collection of data the subjects were allocated conveniently into 2 groups; Experimental group (Group A– scapular mobilization with conventional treatment) and control group (Group B– conventional treatment only). Before and after the treatment protocol the subjects were assessed for intensity shoulder pain by NRS, shoulder range of motion through goniometer, spasticity by MAS and total shoulder disability by SPADI. These outcome measures were analysed.

Result: Pre and post treatment protocol was analysed using paired t test and unpaired t test for parametric data and for non parametric data wilcoxon and Mann–whitney test were used. Analysis of non parametric data showed extremely significant difference for NRS (p= <0.0001) and not significant for MAS for all shoulder musculature. Analysis of parametric data showed significance for SPADI score(p=0.0019) and shoulder ROM except external and internal rotation.

Conclusion: The scapular mobilization with conventional physiotherapy treatment enhances shoulder ROM , reduces pain and shoulder disability score in neglected stroke survivors with shoulder pain.