Comparison of TSTVs NT Along With Conventional Therapy for Upper Limb Motor Function Among Chronic Stroke Patients

Comparison of TSTVs NT Along With Conventional Therapy for Upper Limb Motor Function Among Chronic Stroke Patients

Comparison of Task Specific Training Vs Neurodevelopmental Training Along With Conventional Therapy for Upper Limb Motor Function Among Chronic Stroke Patients

Comparison of Task Specific Training Vs Neurodevelopmental Training Along with Conventional Therapy for Upper Limb Motor Function Among Chronic Stroke Patients

To compare Task Specific Training versus Neurodevelopmental Training along with conventional therapy for upper limb motor function among chronic stroke patients.

Group A will be given Task Specific protocol with routine physical therapy treatment for 45 mins on the upper limb for 3 days a week for a period of 12 weeks. This Task Specific protocol will include different exercises like, do the polishing of the table top , can perform arm cradling, can supinate and pronate the cylindrical object with arm , while pushing the cylindrical object can extend the wrist , can reach forward to touch or to pick an object , can bend side ways to pick the object and place it on the table in front , can pour the 1/2cup of water to the wide jar that is held by the patient in other hand , patient can comb his hair , patient can drink and eat independently , can lift the jar and bring it close to lips , can pick up pen by using thumb and two fingers , can do the stacking checkers , can throw a ball into the basket , can push the ball on wall from front and side.

Group B will receive the Neurodevelopmental protocol with the routine physical therapy for 45 mins on the upper limb 3 times a week for period of 12 weeks. The intervention will be performed by the trained physical therapist. This Neurodevelopmental protocol will include different exercises like , patient should sit while bearing weight , patient can do self-overhead movements with hand clasped , while holding the gymnastic ball reach forward and overhead position while sitting , weight bearing while plantigrade or quadruped position , while sitting or standing can move the ball in forward , backward and sideways.

37 will receive Neurodevelopmental treatment is based on the premise that the presence of normal postural reflex mechanisms is fundamental to a motor skill's performance. Mini mental state examination test

37 will receive Task specific training is a type of exercise treatment involving repeated practise with your affected arm/hand. Wolf Motor Function Test (WMFT)

Inclusion Criteria: Chronic ischemic stroke patients( after 3 months of stroke ).(41) Patients from both gender.(42) Patients of around age of 45-65.(43) Patient with limb spasticity equal to 2 or less than 2 on modified ash worth scale.(44) Patient with good cognitive function minimum 20 or more on Mini Mental State Examination (MMSE).(45) Exclusion Criteria: Patients with history of the recurrent stroke.(41) Patient with fracture or dislocation of upper limb.(46) Patient with any peripheral vascular disease (47) Patient with any comorbid neurological disease like Parkinsonism, epilepsy, multiple sclerosis and spinal cord injury.(21) Patient with skin discoloration, skin ulcers and skin allergy.(48)

Shadman Medical Centre Chaudhry Muhammad Akram Teaching and Research Hospital University of Lahore Teaching Hospital Services Hospital Lahore General Hospital Bashir Neuro Supine Institute