Effect of constraint induced movement therapy versus bimanual task training for improvement of motor hand function in stroke patients Kale Ashwini A1,*, Kekatpure Veda2, Mahendrakar Nikhila2 1Assistant Prof., MGM's Institute of Physiotherapy, Aurangabad 2BPTh Interns, MGM's Institute of Physiotherapy, Aurangabad *Corresponding Author: Ashwini A Kale Assistant Prof., MGM's Institute of Physiotherapy, N-6 Cidco, Aurangabad Email: ashwinikalept@yahoo.co.in
Online published on 18 January, 2019. Abstract Background Stroke is a dominant root of functional disability and altered quality of life among the people residing in the developed countries. Now days, Constraint induced movement therapy (CIMT) and Bimanual Task training (BMT) has emerged as optimal motor care for stroke population. Although, the efficacy of these two regimens were analyzed in pediatrics population, evidence stating its effectiveness in adults is lacking, which warrants further research. Hence, the purpose of this study was to compare the effect of constraint induced movement therapy to bimanual task related training for stroke patients. Method 30 subjects in the age group of 50–65 years, diagnosed as stroke with paresis of dominant arm (Grade 4 on Brunstorm), were randomized in two groups. 15 subjects were subjected to CIMT while the remaining 15 subjects were given bimanual task training to improve motor hand function. The outcome of interest included were Action Research Arm Test (ARAT) and Nine peg hole test (NHPT). CIMT was administered 3 hours, five times a week, for 4 weeks. BMT was provided 1 hour five times a week, for four weeks. Results On unpaired t-test, both the groups were found to be significant at p<0.01. However, there is significant change with ARAT and NHPT for CIMT than BMT AT p<0.01 Conclusion Constraint induced movement therapy appears to be optimal treatment options for improving the motor hand function in subjects with stroke Top Keywords Constraint induced movement therapy, Bimanual task training, Motor Hand Function, Action research arm test, Nine hole peg test. Top |