Vandhana, E (2012) A comparative study to assess the effectiveness of constraint induced movement therapy and conventional physiotherapy in improving hand and wrist function in the hemiparetic stroke patients. Masters thesis, RVS College of Physiotherapy, Coimbatore.
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Abstract
INTRODUCTION : Constraint Induced Movement Therapy of the upper extremity affected by hemiparesis has been credited with hastening the cortical map reorganization process in humans. In other methods of stroke treatment, patients learned to use the unaffected extremity for ADL. Such approaches of treatment may faster learned nonuse of the affected extremity. Learned nonuse is proposed to be a phenomenon in which an individual effectively forgets to use the affected extremity because of the extreme difficulty of movement experienced immediately after the onset of stroke. Constraint Induced Movement Therapy is thought to offset learned nonuse, as it was developed to improve purposeful movement of the affected extremity by restricting the use of the unaffected upper extremity after stroke. In fact, the main therapeutic factor in Constraint Induced Movement Therapy is the intensive use of the paretic limb. OBJECTIVES : 1. To improve the hand and wrist function by Constraint induced movement therapy. 2. To improve the hand and wrist function by Conventional physiotherapy. 3. To know the difference between the constraint induced movement therapy and conventional physiotherapy in improving hand and wrist function in the hemi paretic stroke patients. MATERIALS AND METHOD : Study Design - Two group pre – post test experimental design. Study Setting - This study was conducted at Outpatient department, RVS Hospital, Sulur. Study Duration - The study was conducted for a period of 2 weeks. Subjects : 20 subjects who fulfilled inclusion and exclusion criteria were selected by random sampling method, out of them 10 were allotted in Group A for constrained induced movement therapy and 10 in Group B for conventional physiotherapy. Data Analysis : The data collected from 20 patients were evaluated statistically. Descriptive analytical study was done by using paired‘t’ test and unpaired‘t’ test. RESULTS : The number of subjects for the study was 20(n=20).The subjects were divided into two groups , Group ‘A’ and Group ‘B’, each group consists of 10 persons. Treatment program was given for a period of (14 days) 2 weeks as 6 hours of training per week day of affected extremity. Before starting the treatment group-A was involved for pretest assessment by Fugl-meyer scale. The measurements were repeated after the treatment. Hence we accept Alternate hypothesis HA2 and reject null hypothesis Ho2. CONCLUSION : An experimental study was conducted to investigate the effectiveness of constraint induced movement therapy and conventional physiotherapy in improving hand and wrist function in the hemi paretic stroke patients. 20 patients with hemi paretic stroke were included in this study and randomly divided into two groups A and B each group consist of 10 subjects. Group A was treated with Constraint induced movement therapy. Group B was treated with Conventional physiotherapy. Wrist and hand functions were assessed before and after intervention by Fugl-meyer scale. The statistical result shows that there is improvement in both the groups. But when comparing both it was found that Constraint induced movement therapy is more effective than conventional physiotherapy.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | constraint induced movement therapy ; conventional physiotherapy ; improving hand and wrist function ; hemiparetic stroke patients ; comparative study. |
| Subjects: | PHYSIOTHERAPY > Physiotherapy in Neurology |
| Depositing User: | Subramani R |
| Date Deposited: | 03 Sep 2017 23:55 |
| Last Modified: | 03 Sep 2017 23:55 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/2892 |
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