Department of Physiotherapy, Neurology, SGT University, Gurugram, Haryana, India
Online published on 14 October, 2021.
stroke is a common condition that leads to the functional limitation and restriction in the activity of daily living.
This study determined the effect of dynamic neuromuscular stabilization and modified constraintinduced movement therapy on trunk and upper limb function in hemiplegic stroke. [subject] -Thirty stroke patients were conveniently assigned into Group A (Dynamic neuromuscular stabilization, n=15) and Group B (modified Constraintinduced movement therapy, n=15).
The group A performed Dynamic neuromuscular stabilization exercise (Diphragmatic, intra-abdominal pressure in supine, Arm lift position, Quadripod rock-forward) and Group B performed modified Constraint-induced movement therapy (gross and fine activity of upper limb) along with conventional therapy in both of the group. 1 hr/4 days for 4 weeks intervention is given to both of the group. Trunk function is measured by the Trunk Impairment Scale, upper limb function is measure through the Fugel-meyer upper limb assessment scale and spasticity is measure by the Modified Aswarth Scale were evaluated at baseline, at the end of 2nd and 4th week.
Significant change showed in both the groups but the Group A show highly significant improvement in Trunk impairment scale when compared with Group B. and Group B showed highly significant improvement in Modified Aswarth Scale when compared with Group A.
Dynamic neuromuscular stabilization exercise is recommended to improve trunk and upper limb function and modified Constraint-induced movement therapy recommended to reduce spasticity in hemiplegic stroke patients.
Dynamic neuromuscular stabilization, Modified constraint-induced movement therapy
