COMBINED EFFECT OF EXERCISE THERAPY AND ELECTRO THERAPEUTIC MODALITY ON SHOULDER HAND SYNDROME IN STROKE PATIENTS

The objectives of the study are to evaluate the effect of hot moist pack with exercises, transcutaneous electrical nerve stimulation(TENS) with exercises and investigate the effect of hot damp pack with rehearses and transcutaneous electrical nerve prompting with rehearses on shoulder hand condition in stroke subjects. Ethical clearance was obtained from the ethical committee, KIMSDU, Karad. Study was conducted at Physiotherapy Department of KIMSDU. Comparative study was done on total 40 subjects. they were equally divided into two groups using simple random sampling with lottery method(Group A, Group B) Group A was given hot moist pack with exercises and Group B was given transcutaneous electrical nerve stimulation with exercises. Statistical analysis was performed using paired t-test and unpaired t-test. In pre-intervention there was no statistical significant difference seen according to p values for Voluntary control grade (VCG) 0.7436, Visual analogue scale (VAS) 0.6092, likewise, for Shoulder distress and failure record (SPADI) 0.8487 .On comparing the post-interventional values, the results between the two groups using unpaired t-test showed that there was extremely significant difference seen in p value for Voluntary control grade (VCG) 0.0002 Visual analogue scale (VAS) 0.0001 likewise, for Shoulder distress and failure record (SPADI) 0.0001 The study concluded that Transcutaneous electrical nerve stimulation (TENS) and exercises is significantly effective in reducing pain and improving voluntary control in subjects with shoulder hand syndrome.