Volume : VI, Issue : VII, July - 2017

ARM TRAINING WITH AUDITORY CUEING IS MORE EFFECTIVE FOR UPPER LIMB MOTOR FUNCTION THAN MODIFIED CONSTRAINT INDUSED MOVEMENT THERAPY IN SUB ACUTE STROKE PATIENTS : AN EXPERIMENTAL STUDY.

Monika Sharma, Deepshikha, Parul Rathore

Abstract :

 Question: IS ARM TRAINING WITH AUDITORY CUEING  IS BETTER THAN CONSTRAINT INDUSED MOVEMENT THERAPY FOR IMPROVEMENT OF UPPER LIMB FUNCTION IN POST STROKE PATIENTS?

Design:  A comparative study randomized controlled trial design

Participants: .patients diagnosed with subacute stroke and needs physiotherapy for improvement of upper limb function.

Intervention:  arm training with auditory cueing , constraint indused movement therapy

Outcome measures: , Fugl Meyer post stroke upper limb assessment scale (FMPSULAS),  chedoke arm and hand inventory activity (CHAI)

 

Results:  On compairing the pre test and post test treatment FUGL MEYER assessment of motor function score ,the motor functioning group A increased significantly at post treatment 50.15  3.78 as compared to pre treatment 41.23 4.17 when compared by Wilcoxon signed ranks test.

 

The motor functioning group B increased significantly at post treatment 40.75 5.24   as compared to pre treatment 40.75 5.24 when compared by Wilcoxon signed ranks test . but the improvement in group B was 1.6 fold less as compared to group A.

 

 On compairing the pre test and post test treatmentCHEDOKE arm and hand activity scores ,the motor functioning group A increased significantly at post treatment 56.92 .3.25 as compared to pre treatment 48.54 3.69 when compared by Wilcoxon signed ranks test.

 

The motor functioning group B increased significantly at post treatment 53.4.61   as compared to pre treatment 49.42 4.64, when compared by Wilcoxon signed ranks test . but the improvement in group B was 2.2 fold less as compared to group A.

 

The analysis revealed that both types of training influence upper limb function  of hemiparetic Stroke patients during the study period. This analysis showed that both groups improved with training over time i.e. from pre to post.

 

Conclusion: Study found both the treatments modified constant induced movement and arm training with auditory cueing effective improving the function of upper extremity in sub acute hemiparetic stroke patients but modified with constraint– induced movement was found to be significantly more effective then arm training with auditory cueing alone.

The Fugl–Meyer assessment of motor function score and chedoke arm & hand activity inventory scores improved 1.6 & 2.2 times more respectively in patients those who received modified constraints–induced movement than those who received arm training with auditory cueing alone. Study concluded that modified constraints– induced movement will be more effective then arm training with auditory cueing alone regaining the functional performance of upper limb following MCA stoke. Addition of constraints for six hours is more effective in improving upper limb function.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Monika Sharma, Deepshikha, Parul rathore, ARM TRAINING WITH AUDITORY CUEING IS MORE EFFECTIVE FOR UPPER LIMB MOTOR FUNCTION THAN MODIFIED CONSTRAINT INDUSED MOVEMENT THERAPY IN SUB ACUTE STROKE PATIENTS : AN EXPERIMENTAL STUDY., INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : VOLUME-6 | ISSUE-7 | JULY-2017

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