Effect of task-oriented training with and without trunk Restraint on Reaching Activity in Adult Hemiparetics sulaiman Ibtisam sani1, Pradhan Anwesh2,*, Chaudhuri Gargi Ray3, Agarwal shabnam4, Das tirthadeep5 1Senior Physiotherapist, Nizamiye Hospital Abuja, Nigeria 2Associate Professor, Nopany Institute of Healthcare Studies, Kolkata, India 3Professor, Nopany Institute of Healthcare Studies, Kolkata, India 4Associate Professor, Director, Nopany Institute of Healthcare Studies, Kolkata, India 5Senior Physiotherapist, Institute of Neurosciences Kolkata, India *Name and Address for Correspondence Anwesh Pradhan, Associate Professor, Nopany Institute of Healthcare Studies, 2C Nando Mullick Lane, Kolkata, 700006, India, Telephone number: +91 9932874589, Email: anwesh0907@gmail.com
Online published on 16 January, 2018. Abstract The normal pattern for reaching to a target is not seen in hemiparesis, as patients are seen to use compensatory trunk movements to accomplish the same task. As much as this compensatory behavior allows them to accomplish the task regardless of the motor deficit, it however, may not be desirable for skill requisition. Past studies have shown that limiting these compensatory movements effectively improves reaching activity in adult hemiparetics. However in those studies, the investigators analyzed the effects of training for a very brief period. Thus in this study we are aiming to determine the effect of task-oriented training with trunk restraint on reaching activity in adult hemiparetics, where 20 adult hemiparetics over the age of 40 years were recruited and were randomly allocated to control (n=10) and experimental (n=10) groups. Participants of both groups were assigned a reaching task for 60 repetitions in a single session in 3 directions for 10 sessions within 2 weeks period. Trunk restraint was introduced to the experimental group while performing the reaching task. Pre and post-intervention scores of the Reaching Performance Scale (RPS) were analyzed. Participants of both the groups show significant (p< 0.05) change in RPS scores. Inter group post intervention RPS scores show a significant (p<0.05) differences. Additionally, when the mean values between the groups were compared, the post intervention RPS scores of the experimental groups were higher than the control group, implying better performance in the former. Top Keywords Hemiparesis, Upper Extremity, Reaching Activity, Task Oriented Training, Trunk Restraint. Top |