The effect of TST with Trunk Restraint versus PNF Technique on Functional Performance of Upper Extremity in Acute Hemi paresis: a Comparative Study

Upper limb function was recently shown to improvement following treatment with task specific training with trunk restraint. Proprioceptive neuromuscular facilitation is a good treatment for hemi paresis. No previous study was done to compare both the treatment technique.

The objective of the study is to determine the positive response of the task specific training with trunk restraint and Proprioceptive neuromuscular facilitation on upper limb function for patient with hemi paresis aributable to stroke.

30 patients (21 male, 9 female; age range 45–65 yrs) with anterior knee pain underwent a standardized history and physical examination. After the evaluation each subject rated on Modified asworth scale for spasticity and then each subject was assessed according to fugyl meyer scale. The functional level level perceived during each activity was rated on ARAT and CMHI. Following the assessment, all subjects were assigned in to two groups. Group A treated with task specific training with trunk restraint and Group B was treated with Proprioceptive neuromuscular facilitation and after 12 weeks patients were again rated on ARAT and CMHI.

Experimental design

1 Modified asworth scale 2 fugyl meyer scale.3 ARAT 4 CMHI.

Data for 30 patients were included in the data analysis. Between group analysis shows significance (P<0.05) improvement in CMHI in both the group. Where as ARAT was (P>0.05) not significant improved in both the groups.

Study concludes that Proprioceptive neuromuscular facilitation and task specific training with trunk restraint produces greater improvement in Upper limb function then patients with only with task specific training with trunk restraint in terms of movement and function.