ABSTRACT

Stroke is known to be common globally and it is estimated that around 30% of world population will suffer from stroke in next decade. During the event of stroke, circulation to either side of hemisphere is compromised that leads to weakness of opposite side of body. Lower extremity has better chances of spontaneous recovery than upper extremity (UE). UE being majorly used in activities of daily livings (ADLs) must have extensive rehabilitation plan for better function. The objective of the study was to compare effectiveness of constrain induced movement therapy (CIMT) and Mirror therapy (MT) on UE function in subacute stage of post stroke patients. It is a single blinded randomized clinical trial conducted in Physiotherapy Department of DHQ hospital Kasur. Total of thirty patients were including in the study after written consent. These patients were divided equally into two groups by even odd method. In addition to baseline treatment Group A was treated with CIMT and Group B was treated with MT for four weeks. Fugl Meyer Assessment (FMA) for UE is used as an outcome measure. FMA score was conducted pre and post treatment. Pre treatment assessment of FMA score had no significant difference between the two groups which means that the groups are comparable i.e. 34.65 ± 9.24 for Group A and 35.75 ± 7.65 for Group B. in post treatment score of FMA it is found that both treatment approaches have good result of functional outcome but Group B has shown better improvement on FMA scale than Group A which is 48.7 ± 8.57 in comparison to 38.5 ± 9.67. It is concluded that MT is better treatment approach to gain improvement in hand function in subacute stage of stroke patients. Keywords: upper extremity (UE), activities of daily livings (ADLs) constrained induced movement therapy (CIMT), Mirror therapy (MT), Fugl Meyer Assessment (FMA)
Publication date: 01/06/2022

https://ijbpas.com/pdf/2022/June/MS_IJBPAS_2022_6149.pdf

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https://doi.org/10.31032/IJBPAS/2022/11.6.6149