Indian Journal of Public Health Research & Development
  • Year: 2019
  • Volume: 10
  • Issue: 11

A Comparative Study on Bilateral and Unilateral Task Oriented Exercises for Improving Upper Extremity Motor Function in Post-Stroke Subjects with Learned Nonuse Phenomenon

  • Author:
  • Brundha Tanavarapu1, P. Kiran Prakash2, P.R. Sri Thulasi2, Patchava Apparao3, Ganapathi Swamy Chintada4, Choppala Mary Margrett1
  • Total Page Count: 5
  • Page Number: 56 to 60

1Post Graduate Student, Department of Physiotherapy, Swatantra Institute of Physiotherapy And Rehabilitation

2Asst. Professor Physiotherapy, Department of Physiotherapy, Swatantra Institute of Physiotherapy And Rehabilitation

3Principle of College, Department of Physiotherapy, Swatantra Institute of Physiotherapy And Rehabilitation

4Asst. Professor of Statistics, Department of Community Medicine, GSL Medical College, Rajahmundry, NTR University of Health Sciences, Andhra Pradesh, India

Online published on 27 March, 2020.

Abstract

This study is to compare the effects of bilateral and unilateral task-oriented exercises and to determine the effective approach for improving the upper extremity motor performance in post-stroke subjects with learned nonuse phenomenon.

68 subjects were taken, 65 of them met the study criteria, and were divided into two groups by systemic randomized sampling, 33 in Group-A (Unilateral group) and 32 in Group-B (Bilateral group). 56 subjects completed the intervention. Both groups received 30 minutes of task-oriented training, Group-A performs the task exercises using only the affected upper extremity, where as in the Group-B tasks are performed using both the affected and unaffected upper extremities. These interventions were held for, 30 minutes 5 days a week for 4 weeks. The outcome measures in the study were Motor activity log (MAL), and its two components Amount of use (AOU) & Quality of use (QOU)And the Fugl Meyer assessment of upper extremity (FMA-UE).The pre-test and post-test assessment differences were taken to see the improvements.

Statistical analysis data revealed that both the groups have shown improvement in motor function in post stroke subjects with learned nonuse phenomenon. There is no significant difference, in between the groups.

This study concluded that there is no difference in bilateral and unilateral task training in improving motor function in post stroke subjects with learned nonuse phenomenon, and they are equally effective.

Keywords

Stroke, Bilateral task-oriented exercise, Unilateral task-oriented exercises, Fugl Meyer assessment, Motor activity log