Authors : Vikasini rokalla, Sri Tulasi pilladi, Kiran prakash pappala, Apparao pachava, A. Chaturvedi pilladi
Background: Hemiplegia is one of the most common impairments after stroke and contributes significantly to upper limb activity. Although the majority of stroke patients experience on difficulty in daily activities, many do not reach a normal functions of arm level that enable them to perform all their daily activities. Similarly, upper extremity motor function after stroke is often impaired, causing restrictions in functional mobility. There is lot of literature supporting the efficacy of mental practice therapy in improving hand function of hemiparetic upper extremity, but there is lack of literature studies on the chronic subjects.
Methodology: A total of 70 stroke patients were taken, out of that a sample of 60 subjects, who met the inclusion criteria and who are willing to participate in the study were recruited for the study. The group A practice performed in 5days a week for 4weeks mental practice given 20mins and Task practice 10mins. Total duration of therapy is 30mins. The functional task oriented training group B performed 5days in a week for 4weeks total duration is 30mins.
Results: Paired t-test was done to compare pre and posttest values of group A and group B. comparison between pre and posttest values of functional ability score of group-A is 0.02 whereas group B 0.03 which was found to be significant.Comparison of pre and post interventions of time scores of task in group A and group B are 0.01 and 0.04 which was significant.Comparison between the groups reveals 0.02 which was significant with regards to time score and 0.01 for functional ability in group-A which was significant.
Conclusion: It has been concluded that addition of 4weeks mental practice therapy to Task oriented therapy is a useful adjunct to improve
upper limb functional recovery in chronic stroke subjects.
Keywords: Mental Practice, Task Oriented Training, and Upper Limb Functions.