Year: 2024 | Month: January-March | Volume: 9 | Issue: 1 | Pages: 8-18
DOI: https://doi.org/10.52403/gijhsr.20240102
Effectiveness of Modified Constraint Induced Movement Therapy in Improving Functional Activities of Hand in Sub Acute Stroke Subjects
Dr. G Nusarath Jaha PT
Assistant Professor, Apollo College of Physiotherapy, Chittoor, Andhra Pradesh, India.
ABSTRACT
BACKGROUND: In stroke, upper limb hemi paresis is a commonly seen impairment and challenging for activities of daily living that have a significant impact on one's quality of life. The majority of studies used both occupational therapy and physiotherapy to improve hand functions in subjects who had chronic strokes. Stroke patients often under-utilizes their paretic limb despite sufficient residual motor function. We hypothesize that acquired non-use can be overcome by reinforcement-based training strategies. The goal of this study is to analyze the efficacy of modified constraint induced movement therapy (m CIMT), to improve functional activities of hand in sub acute Stroke subjects.
AIM: The Objective of this study was to analyze the effectiveness of Modified constraint induced movement therapy in improving hand functions in Sub acute stroke subjects.
Methodology: This study was an Experimental study and the type of sampling was convenient sampling. The sample size was 30 subjects with unilateral hemiplegia with duration of more than 3 months and the study was conducted in outpatient PT Department.
Results: The results were obtained using FMA and MAL on the basis of Pre and Post treatment data and comparing the Control and experimental groups. The statistical analysis showed significant difference between the experimental group and the control group. This shows that subjects in the experimental group who received Modified Constraint induced movement therapy have shown significant improvement than control Group who received only Conventional Physiotherapy.
Conclusion: Modified constraint induced movement therapy can be added in stroke rehabilitation for improvement of activities of daily living and functional independence of stroke patients.
Keywords: Hemi paresis, CIMT, m CIMT