Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
  • Year: 2016
  • Volume: 10
  • Issue: 1

Effect of Constraint Induced Movement Therapy v/s Motor Relearning Program for Upper Extremity Function in Sub Acute Hemiparetic Patients-a Randomized Clinical Trial

1MPT, KLE University's Institute of Physiotherapy

2Professor, KLE University's Institute of Physiotherapy

3Assistant Professor, KLE University's Institute of Physiotherapy, Belgaum, Karnataka

Online published on 14 December, 2015.

Abstract

Motor impairment after stroke is common, following damage to areas of the brain normally involved in the planning and execution of motor commands. Impaired motor control of the upper extremity is one of the most frequent consequences of stroke.

To determine the effect of CIMT and MRP on upper limb function and to compare the effect of both in sub-acute hemiperatic patients.

45 participants were randomly allocated into group A and B. Group A received CIMT technique. The unaffected extremity was restrained for 80 percent of working hours and task oriented training was given for affected extremity for 3 hours daily for 14 days. Group B received the motor relearning program for 14 days. Functions of upper limb were assessed using Nine Hole Peg Test, Motor Activity Log and Fugal Meyer Performance measured at the beginning and after completion of the intervention.

The results of the present study showed statistical significant improvement in MAL (p=0.001) and FMS (p=0.031) in the CIMT group. The MRP group showed significant improvement in MAL (p=<0.001).

Both CIMT and MRP are found effective in improving upper extremity function in patients; however CIMT was more effective than MRP.

Keywords

Stroke, Upper extremity function, Constraint induced movement therapy (CIMT), Motor relearning program (MRP)