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A Comparative Study Of Combined Graded Repetitive Arm Supplementary Program (Grasp) And Constraint Induced Movement Therapy (CIMT) Versus Conventional Therapy On Hand And Arm Function In Sub Acute Stroke

E-Book  June 22, 2024 |  admin |  Physiotherapy, Uncategorized
S.Nivethakumari1, Vishnupriya.R2, Kannan Dhasaradharaman3, Anantharaj.K4, Kohilavani.S5

Authors:
1*MPT student, JKKMMRF College of Physiotherapy, The Tamilnadu Dr.M.G.R. Medical University Chennai, Tamilnadu, India
2,4,5Professor,  JKKMMRF College of Physiotherapy, The Tamilnadu, Dr.M.G.R. Medical  University Chennai, Tamilnadu,India
3Professor and Principal,  JKKMMRF College of Physiotherapy, The Tamilnadu, Dr.M.G.R. Medical  University Chennai, Tamilnadu, India

Corresponding Author:
*1JKKMMRF College of Physiotherapy, The Tamilnadu, Dr.M.G.R. Medical  University Chennai, Tamilnadu,India, Email id:  nivethakumariselvam1998@gmail.com

ABSTRACT

Background of the study: Stroke (CVA) is a rapidly developing loss of brain function due to disturbance caused by an interruption of the blood flow to the brain. The aim of the study is to compare a combination of Constraint Induced Movement Therapy and Graded Repetitive Arm Supplementary Program versus Conventional Therapy on arm and hand functions on sub acute stroke.

Methods: This is aQuasi experimental study. Sampling of 30 subjects of age >40years of both sexes are selected from the JKKMMRF College of Physiotherapy. Group A of 15 subjects receives combination of Constraint Induced Movement Therapy and Graded Repetitive Arm Supplementary Program, Group B of 15 subjects receives Conventional Therapy. Pre and post intervention were assessed by Fugl Meyer Assessment scale and Chedoke Arm and Hand Activity Inventory.

Result: Group A sub acute stroke patients included in the study completed the 15 sessions of combination of Constraint Induced Movement Therapy and Graded Repetitive Arm Supplementary Program they were re-evaluated at the six- month follow-up. The significant P value is less than 0.0001 which is extremely significant.

Conclusion: we conclude that the combination of Constraint Induced Movement Therapy and Graded Repetitive Arm Supplementary Program has improvement of arm and hand functions on sub acute stroke.

Keywords:  Constraint Induced Movement Therapy, Graded Repetitive Arm Supplementary Program, Conventional Therapy, Fugl Meyer Assessment, Chedoke Arm and Hand Activity Inventory

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