The rate of cerebrovascular accident is keep on increasing in Pakistan which cause major disability in affected person. In developed countries it has been reported that an action observation treatment for rehabilitation, promotes motor function of upper limb in stroke population.Objective: To find out effects of action observation treatment on upper limb motor functions of chronic stroke patients.Study Design: A randomized control trial with registered number NCT05084820.Place and Duration of study:Fourteen chronic stroke patients were taken from Umer hospital and Riphah rehab center Lahore. Total duration of study was 6 months.Materials and method:A randomized control trial was done containing total 14 chronic stroke patients. Patients in experimental group were given action observationtreatment three days per week for one month along with conventional physiotherapy treatment. Patients in conventional group, received strengthening exercises, reach and grasp of hand, stretch of hand muscles. Modified Barthel Index was used to measure function of upper limb and Fugl-Meyer Assessment for upper extremity (FMA-UE) for assessment of motor function. Statistical analysis was done by using SPSS 21.Results: There were significant difference in MBI and FMA-UE score, P value was <0.05, but sensation and joint pain from FMA-UE tool P value was >0.05 which was non-significant.Conclusion:Action observation treatment together with conventional treatment was an effective treatment approach on improving motor function of upper limb in chronic stroke patients.
Objective: To determine the association of hand stiffness with balance impairment in chronic stroke patients. Methodology: A cross sectional study was conducted on eighteen chronic stroke patients with age range between 40 to 70 years. Patients were taken from Riphah Rehab Center and Govt. Kot Khawaja Saeed Teaching Hospital KEMU Lahore. The balance of patients was assessed by using Berg Balance Scale (BBS) and Timed Up and Go Test (TUG) while motor function of the hand was assessed by using Fugl Meyer Assessment-Upper Extremity (FMA-UE). Results: The analysis of data done by using SPSS version25. The mean value of age of the patients was 54.9 + 9.09 years. FMA-UE tool was used to assess motor activity of hand. Postural balance was measured by using BBS and TUG. The results showed a positive correlation of FMA-UE with BBS (rs = 0.704, p =<0 .001) and a negative correlation with TUG (rs = -.705, p = .001). Conclusion: This study concluded that there is association of hand stiffness with balance impairment in chronic stroke patients Key Words: Hand stiffness, Balance impairment, Chronic stroke, Postural instability, Proprioception.
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