ABSTRACT
Background: Stroke is the commonest neurological cause of morbidity and mortality all over the world. Alterations in scapular position and motion occur in 68–100% of patients due to changes in the tone of the upper extremity and reduced strength, leading to an altered position of the scapula. Scapular stabilizing exercises and Scapular PNF have been shown to be effective individually in improving scapular control. However, its effect on functional tasks and objective measurement has not been studied. So, the purpose of the study is to compare these two techniques to identify the better technique with respect to objective measurement and its effect on functional tasks. Methodology: An Experimental study was done in a tertiary care hospital on 18 patients according to inclusion criteria and was divided into two groups. Group A Scapular Stabilizing Exercises and Group B Scapular Proprioceptive Neuromuscular Facilitation and Intervention were given for four days, and pre and post-assessment were done by Palpation meter (PALM) and Functional tasks (lifting and lowering the cup). Results: The results showed significant improvement in both techniques, i.e., there is a decrease in the Total Height discrepancy (t = 3.4) (p 0.003) and the time taken for lifting and lowering the cup (t = 2.2) (p 0.04). Conclusion: Scapula Proprioceptive Neuromuscular Facilitation Exercises are more effective than Scapula Stabilizing Exercises and have a better short-term effect on Scapular Alignment and Functional Tasks in patients with Stroke.
ABSTRACT
Background: Spinal Cord Injury is one of the severe injuries results in loss of sensory and motor function below the level of injury which deteriorates the quality of life. The bio-psycho-social model also emphasizes on the improving the quality of life than enhancing the physical function as the primary goals of SCI rehabilitation. Many authors have reported that there is significant positive effect on activities of daily living. Therefore, improving the quality of life in individuals with SCI. Aim: To study the Relationship between Functional Status and Quality of Life in Patients with Spinal Cord Injury. Methodology: Ten subjects were enrolled according to the inclusion and exclusion criteria of the study. WHOQOL-BREF and SCIM was administered at 3rd, 6th and 9th month of injury to assess the Quality of life and Functional Status of the individuals with Spinal Cord Injury. Result: There was significant correlation between SCIM Vs Psychological domain (r=-0.66, p= 0.03*) at 3rd month, SCIM Vs Social domain (r= 0.57, p= 0.08*) at 3rd month, SCIM Vs Environmental domain (r= 0.57, p= 0.07*) at 9th month post injury.Conclusion: The study concluded that there was a positive association between the functional status and quality of life in patients with spinal cord injury at 3, 6 and 9 months of injury.