Original Article: JRCRS. 2024; 12(2): 101-105.
8- Effects of modified constraint induced movement therapy versus proprioceptive neuromuscular facilitation on upper limb motor function in chronic ischemic stroke patients
Roshaan Sethi 1, Fariha Khalid 2 Mehwish Saghir 3, Usama Ahmad Khan 4, Muhammad Kamran Hanif 5
1Student at University of Lahore, Lahore, Pakistan
2,3,5Assistant professor at University of Lahore, Lahore, Pakistan
4Physiotherapist at Sikander Medical Complex, Lahore, Pakistan
ABSTRACT:
BACKGROUND:
Motor function is the most important long term consideration for conservative management for post stroke patients. Modified constraint induced therapy is a promising treatment to improve functionality of limbs. PNF combines the use of spirals and diagonals in specific directions with techniques that cause muscle pain, relaxation and muscle contraction, and overlapping techniques.
OBJECTIVE: To assess effects of modified constraint induced movement therapy versus proprioceptive neuromuscular facilitation on upper limb motor function in chronic ischemic stroke patients.
METHODOLOGY:
It was a randomized control trial. Total number of participants was 72 (66 after dropout) of chronic stroke patients.it was a single blinded study.one group was given conventional physical therapy with PNF and other group was given conventional physical therapy with MCIMT. This study was conducted by the ethical approval of research and ethics committee of University of Lahore. Study Design was a randomized controlled trial. Patients were recruited from Social Security Hospital Lahore.
RESULTS:
The participants mean age was 58.1818(PNF) and 58.3939 (MCIMT). We used the Motor activity log 30 and Fugl Meyer motor assessment scale. There was not seen a significant difference in between the groups pretreatment (p>0.05). A significant difference was noted post intervention (p<0.05) in both the groups. However the MCIMT group showed better scoring for both FMA and MAL .
CONCLUSION:
The study showed that both techniques are effective improving upper limb function but MCIMT shows more favorable results.
KEY WORDS:
Hemiplegia, Motor Activity, Proprioceptive Neuromuscular Facilitation, Stroke, Stretching.