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Corresponding Author: : Dr. Swapan Kumar Mishra, Associate Professor,Department of PM&R, North Bengal Medical College, Sushrutanagar, Darjeeling, India. phone-8585046797. E-Mail: docpmr@yahoo.com Background: Stroke is the most common neurological condition causing long term disabilities in various ways. Post-stroke shoulder subluxation, mainly the Gleno-humeral Subluxation (GHS) of the affected side is often detected as a complication. Numerous theories exist to explain the pathomechanics of developing GHS,but studies regarding its relationship with the sensori-motor recovery of the affected limb is still controversial. Aim of Study: To ascertain the correlation between Gleno-humeral subluxation with sensori-motor recovery of the affected upper limb following stroke. Method: This correlation study was conducted on 30 patients of both sexes within the age group of 45-65 years with post-stroke (duration < 6weeks) Gleno-humeral subluxation( GHS). Screening of GHS was done by palpation and degree of GHS was quantified by High resolution USG by measuring the Acromion Greater Tuberosity Distance difference (AGTDD) between two shoulders. Sensorimotor recovey of the affected limb was assessed by Fugl Meyer Assessment Scale of Upper Extremity (FMA-UE). Data collected at the baseline (visit1), at 6 weeks (visit 2), 12 weeks (visit 3) and at the end of the study i.e 24 weeks (visit 4). Results: Pearson Correlation (r) in all visits (V1: r=-0.926, p=0.000. V2: r=0.947, p=0.000. V3: r=0.912, p=0.000. V4: r=0.924, p=0.000) established a statistically significant negative correlation between degree of shoulder subluxation and sensory-motor recovery. Conclusion: Post-stroke GHS is a significant complication which undoubtedly plays a cardinal negative role during sensori-motor recovery of the affected upper limb.

SENSORI-MOTOR RECOVERY IN POST-STROKE SHOULDER SUBLUXATION: A NON INVASIVE CORRELATION STUDY