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Evaluation of Performance Based Impairment of Stroke Patients

E-Book  June 28, 2023 |  admin |  Physiotherapy, Physiotherapy, Physiotherapy, Publications

  G. Velmurugan1, S. Viswanathan2, J. Andrews Milton3, U. Niyamathulla4  

Authors:
2Lecturer in Physiotherapy, Division of Physical Medicine and Rehabilitation, Raja Muthiah Medical College and Hospital, Annamalai University, Tamil Nadu, India
3Professor and Principal, Bethany Navajeevan College of Physiotherapy, Thiruvananthapuram, Kerala, India
4Assoc.Professor, School of Allied Health Sciences, Karaikal, Tamil Nadu, India  
Corresponding Author:
1PhD Scholar, Annamalai University, Chidambaram, Tamil Nadu and Professor, Shanmuga College of Physiotherapy, Karaikal, Tamil Nadu, India, Email id: physiovelkavin66@gmail.com

Abstract

Background: Stroke is the leading cause of physical dysfunction. It is imperative to identify the current level of physical activities of stroke patients to plan for effective rehabilitation strategies. Aim of the study was to evaluate the severity of performance impairment of stroke patients using Fugl-Meyer Assessment and Total motor score.

Methods: Thirty-seven stroke patients were selected. The performance impairment was evaluated by FMA motor score. Both upper limb (UL) and lower limb (LL) motor function was evaluated. The maximum UL score was 66 and LL score was 34. The relationship of age and duration of condition with FMA motor score was studied by Pearson’s correlation coefficients. The difference in the gender and type of stroke with the FMA motor score was analysed by Mann-Whitney ‘U’ test.

Result: The mean FMA total score was 43.81 ± 7.12. The relationship between age and total motor score was not significant with, r = 0.004, p = 0.980. There was no significant relationship between duration of the condition and motor recovery, r = 0.46, p = 0.304 > 0.05. The difference in the gender (z = 0.55, p = 0.579) and type of stroke (z = 0.06, p = 0.956) was not significant with the total motor score.

Conclusion: It is concluded that stroke patients have severe performance impairment evaluated by FMA and Total motor score. Motor recovery was not dependent on the age and gender of patients.

Keywords: Stroke; Fugl-Meyer Assessment; Upper limb; Lower limb

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