IJSHR

International Journal of Science and Healthcare Research

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Original Research Article

Year: 2020 | Month: October-December | Volume: 5 | Issue: 4 | Pages: 215-220

Influence of Bilateral Upper Limb Training on Improving Motor Function in Hemiparetic Individuals

Archana Patil1, Shital Kale1, G. Varadharajulu2

1Assistant Professor, B.K.L. Walawalkar College of Physiotherapy, Dervan
1M.P.Th, Neurosciences, 2Dean, Krishna College of Physiotherapy, Karad

Corresponding Author: Archana Patil

ABSTRACT

Background: Delayed recovery of upper extremity hemiparesis in stroke survivors is the leading cause of functional disability. Variety of studies have been undertaken which mainly focuses on unilateral limb training. Bilateral training was necessary adjunct to unilateral training. So, there is need to train and assess the supportive role function.
Aim: To find out influence of Bilateral upper limb training on motor function in Hemiparetic individuals.
Method: 30 Patients with chronic stroke were randomly assigned for structured protocol for 4 weeks of training. Task were performed in 3 phases i) simultaneous activity ii) alternate activity of both upper limb iii) Home exercise programme including ADL’s. The functional stage of each patient was measured by Brunnstrom Fugl-Meyer test assessment of motor function of upper extremity and motor activity log score.
Results: The Fugl-Meyer upper extremity motor function post-intervention score was significantly improving than pre-intervention score. (P<0.001, t=8.809). Motor activity log quality of movement and amount of use post-intervention scores for daily bilateral activities improved than pre-intervention score. (P<0.001, t=10.383, t=7.900).
Conclusion: Bilateral upper limb training improved motor function in Hemiparetic individuals as well as it is effective in improving bilateral activities of daily living.

Keywords: stroke, bilateral upper limb training, Fugl-Meyer upper extremity score, Motor activity log.

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