Effects of Proprioceptive Activities on Hand Function in Chronic Stroke Patients
Stroke, Proprioceptive Disorders
About this trial
This is an interventional treatment trial for Stroke focused on measuring graphesthesia, stereognosis, stroke
Eligibility Criteria
Inclusion Criteria:
- Either right or left sided hemiplegic patients post stroke 6 months to 4 years
- Can partially open and close hand and able to elevate arm to at least 60 degrees and bend to 45-60 degree against gravity.
Exclusion Criteria:
- Patient with TBI, neuromuscular degenerative diseases, diabetes, heart disease, fracture of hand ,.muscular skeletal injuries of hand or birth deformities of hand
- Patients having any known or diagnosed psychological condition or unable to follow the command for exercise.
Sites / Locations
- Riphah International University
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
experimental group
conventional treatment
The patients in the experimental group will get the hot pack initially for 15 minutes .Then for proprioception training of graphesthesia for 15 mints, therapist repeatedly draw some letter, figures, digit, shapes ,alphabets on the palm of hand/digits of patient.For Stereognosis therapist command the patient to close his or her eyes, then on affected hand put some different kinds of objects and shapes then ask the patient to identify that object, the object might be of any kind like a key, rubber a block or a coin etc. Total time for stereognosis was 15 minutes. For motor training patients were guided by the therapist to use his or her affected hand more. Then patient practiced some task like drawing writing his or her name, folding the towel or a paper, eating something with different speed, picking small objects like nails and put them in to small boxes, organize the cards etc. This training session required 15 minutes.
baseline treatment of hot pack for 15 minutes will be given.The patients in this group will get muscle strengthening exercise of the hand, Range of motion, and stretching of the hand muscles, 3 sets of 8 repetitions were given to the patient, gap of 2 minutes will be given between regimes. For 20 minutes this session will be given to patient by the therapist.