Effectiveness of inhibitory casting with electrical stimulation on improving the hand function in patients with middle cerebral artery stroke

Sumithra, S (2012) Effectiveness of inhibitory casting with electrical stimulation on improving the hand function in patients with middle cerebral artery stroke. Masters thesis, P.P.G College of Physiotherapy, Coimbatore.

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Abstract

INTRODUCTION : Inhibitory casting produce an effective extrinsic stretch shortening of the extensor musculature, and strengthening of the intrinsic musculature. Electrical stimulation applied to antagonists would reduce agonist muscle tone and increase strength of antagonist muscles and improves the hand function. In patients with MCA stroke upper limb is commonly affected. Casts provide low load, long duration force by maintaining the affecting extremity in a reflex –inhibiting positions. Casts may cause thermal and tactile receptors to turn-off, thus decreasing motor neuron excitability. OBJECTIVE : It is an experimental study design to determine the effectiveness of inhibitory casting with electrical stimulation on improving the hand function in MCA stroke patients . DESIGN : The study was Pre-test and post-test experimental group design. PARTICIPANTS : A sample of 40 MCA stroke patients were divided in to 2 groups : Group A :Experimental group :Treated with inhibitory casting and electrical stimulation and Brunnstorm’s approach. Group B : Control group :Treated with traditional stretching and mat activities . OUTCOME MEASURES : Spasticity, hand function and Brunnstorm’s approach were measured using modified ashworthscale, wolf motor function test and Brunnstorm’s recovery scale RESULTS : Statistically group A was significant when compared to group B which received inhibitory casting ,electrical stimulation and Brunnstorm’s approach. CONCLUSION : The study concludes that inhibitory casting with electrical stimulation and Brunnstorm’s stages in patients with MCA stroke .Thus, this study accepts the alternate hypothesis and rejects the null hypothesis.

Item Type: Thesis (Masters)
Uncontrolled Keywords: inhibitory casting ; electrical stimulation ; hand function ; middle cerebral artery stroke.
Subjects: PHYSIOTHERAPY > Physiotherapy in Neurology
Depositing User: Subramani R
Date Deposited: 03 Sep 2017 02:08
Last Modified: 18 Sep 2017 10:19
URI: http://repository-tnmgrmu.ac.in/id/eprint/2873

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