Effects of Proprioceptive Activities on Hand Function in Chronic Stroke Patients

Effects of Proprioceptive Activities on Hand Function in Chronic Stroke Patients

To determine effects of proprioceptive activities on hand function in chronic stroke patients

Stroke is causing the long term disability worldwide. The patient in the chronic phase of stroke may suffer from long term hand disability along with both motor and sensory dysfunction. That causes hindrance in performing the ADLs. As the hand is the important organ performing major functions of daily living .So the early restoration of the motor as well as sensory function is necessary.

The motive of this study IS to determine effects of proprioceptive activities on hand function in chronic stroke patients. Total 40 chronic stroke patients will be included in the study. They will be randomly allocated in two groups by lottery method that fulfills the inclusion criteria of the study. In group A patients will be recruited and proprioceptive activities will be given to the affected hand for 3 days /week for 2 months. On the other hand in group B conventional therapy will be given for 3 days /week for 2 months. In sensory training graphesthesia and stereognosis will be checked by modified subtest of sensory integration praxis test and Byl-Cheney-Boczai Sensory Discriminator Test respectively. The motor task will be assessed by the wolf motor test. As a baseline treatment hot pack for 15 min will be given to both of the groups

Inclusion Criteria:

• Either right or left sided hemiplegic patients post stroke 6 months to 4 years
• Can partially open and close hand and able to elevate arm to at least 60 degrees and bend to 45-60 degree against gravity.

Exclusion Criteria:

• Patient with TBI, neuromuscular degenerative diseases, diabetes, heart disease, fracture of hand ,.muscular skeletal injuries of hand or birth deformities of hand
• Patients having any known or diagnosed psychological condition or unable to follow the command for exercise.