Effects of Modified Constraint-Induced on Chronic Stroke Patients

Comparison of the Effect of Proprioceptive Training Therapy or Modified Constraint-Induced Movement Therapy on Upper Extremity Physical Functions in Chronic Stroke Patients - A Randomized Controlled Study

In the present study, it was aimed to compare the proprioception training applied in addition to conventional treatment and Modified Constraint-Induced Movement Therapy treatment in patients with chronic strokes and to investigate the effects on proprioception, spasticity, functional motor skills and daily living activities in the upper extremity.

Inclusion Criteria:

• Post stroke hemiparetic patients of six months
• spasticity ≤ Grade -3 on modified Ashworth scale
• those patients capable of extension of at least 10º each at Metacarpophalangeal (MCP), Proximal Interphalangeal (PIP) and Distal Interphalangeal (DIP) joints and 20º at wrist joint
• a score of 24 or higher on the Modified Mini-Mental State Examination
• no excessive pain in the affected upper limb, as measured by a score of 4 or higher on a 10-point visual analog scale

Exclusion Criteria:

• Patients with history of previous stroke,
• angina,
• uncontrolled hypertension, on medication that could impair neuromuscular performance,
• wrist or finger pathologies, significant visual or hearing impairment,
• balance problems which may compromise safety during sound upper limb constraint,
• unwilling to participate