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IJCRR. 2016; 8(14): 17-22


EFFECT OF SCAPULAR MALPOSITIONING ON SHOULDER RANGE OF MOTION IN STROKE PATIENTS

Snehal Joshi, Dipti Naik.

Abstract
Purpose of the study: A healthy Shoulder has an extensive mobility in normal individual. The extensive range of motion of the healthy shoulder is a result of integrated movements of the sternoclavicular, acromioclavicular, glenohumeral and scapulothoracic joints. There is a coordinated actions of muscles (rotator cuff muscles, trapezius, rhomboids and serratus anterior) to bring about a normal range of motion of shoulder joint and scapula in normal healthy individuals Stroke causes severe dysfunction in the shoulder joint. There is also dyskinesis of scpulothoracic joint. However it is not known how these patterns of muscle activation change following stroke and how the scapular malpositioning affect shoulder range of motion. This study was conducted to find out whether only malopsitioning of scapula can affect shoulder range of motion.
Methodology: Type of study : Observational-Analytical-Cross sectional study
• Scapular position of the affected side was assessed using acromial distance, modified Lateral Scapular Slide Test and visual observation
• Shoulder range of motion was assessed using goniometer
• Results were analysed using Pearson’s Correlation coefficient test
Result: According to the study conducted, no significant correlation was found between scapular malpositioning and shoulder Range of Motion in stroke patients
Conclusion: The altered position of scapula does not affect the range of motion in stroke patients

Key words: Scapular malpositioning, Shoulder ROM, Stroke



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