Year: 2024 | Month: October | Volume: 14 | Issue: 10 | Pages: 1-10
DOI: https://doi.org/10.52403/ijhsr.20241001
Efficacy of Restraint Wear and Massed Task Specific Practice on Upper Limb Function in Elderly Subjects Following Stroke
Syeda Mafida Begum1, Kangkan Talukdar2, Sasanka Mahanta3
1Physiotherapist, Plexus Rehabilitation Centre, Bangalore, India
2Lecturer of Physiotherapy, Jorhat Medical College, Assam, India
3Assistant Professor, Regional College of Paramedical Health Sciences, Guwahati, Assam, India
Corresponding Author: Kangkan Talukdar
ABSTRACT
Introduction: Stroke is defined as a sudden, non-convulsive loss of neurologic function due to an ischemic or hemorrhagic intracranial vascular event. Roughly one third of all people who experience a stroke have some residual impairment of upper extremity which affects basic ADL skills such as bathing, dressing, toileting etc. Upper limb impairments are therefore a considerable problem following stroke and maximizing upper limb function is a key factor in motor rehabilitation following stroke. The purpose of the study was to find the effect of restraint wear and massed task-specific practice on improvement of upper limb function such as functional upper limb recovery and specific task function of hand in elderly stroke population.
Materials and Methods: Total 30 subjects were included based on inclusion and exclusion criteria and randomly allocated into Study and Control group, 15 in each. The functional recovery of upper limb was measured using Chedoke Arm and Hand Activity Inventory (CAHAI) and specific task function of the hand was measured using Action Research Arm Test (ARAT) before the intervention. Subjects in the study group received restraint wear and massed task specific practice for 2 hours/day for 5 days in a week for 4 weeks along with conventional treatment. Subjects in the control group received conventional treatment. After the treatments, the outcome measures were reassessed again.
Results: After analyzing the data, the experimental group has shown significantly greater improvement than the control group.
Conclusion: The result of study concluded that 4 weeks of restraint wear and massed task specific practice improved the upper limb function such as functional upper limb recovery and specific task function of hand in elderly stroke population.
Key words: Stroke, Functional Training, Constraint Induced Movement Therapy, Upper Limb, Geriatric Rehabilitation, Arm Training