Efficacy of selected treatment protocol in the management of recurrent dislocation of shoulder joint- A Pre-Post study design

Abstract

Background: Recurrent shoulder dislocation is a prevalent condition in orthopedic practice, particularly affecting young adults and significantly disrupting their daily activities. Treatment approaches, particularly in the context of Sandhimoksha, emphasize enhancing joint stability and strengthening the surrounding muscles to prevent further dislocations and improve overall function. Aim-To clinically prove the effect of selected treatment protocol in the management of recurrent dislocation of shoulder joint.Materials and methods: The study was a pre-post clinical trial involving 15 participants from a single group, selected based on specific inclusion and exclusion criteria. The participants diagnosed with recurrent dislocation of shoulder joint was  subjected to selected treatment protocol which comprises of reduction  and bandage with sling , snehapana followed by abhyanga with ushma sweda and virechana, ekanga dhara and nasyam, ajamamsa samyuktha ekanga shashtikapinda sweda and anuvasana vasti for a maximum period of 51 days. Along with above procedures, internal medications was  also administered . Assessment was  done on the day of admission, after each procedure and on the day of discharge .Follow up was done once in every month for 3 months after discharge. Results: Both subjective and objective parameters were statistically significant with P <0.0001. The selected treatment protocol was found to be effective in the management of recurrent  dislocation of shoulder joint Conclusion: The results demonstrated that the selected treatment protocol effectively reduced pain, minimized muscle wasting, and improved the range of motion in cases of recurrent shoulder joint dislocation