Comparison of PNF and Task Related Techniques Along with Tens on Upper Limb Function Among Stroke Patients

The objective of this study is to determine the comparison of PNF and TRT along with TENs on upper limb function recovery among stroke patients.

Inclusion Criteria:

• Duration of illness before participation in the study ranged from six to eighteen months' post stroke.
• Patients who diagnosed with ischemic stroke stage 2 and 3
• Patients' age ranged from 50-70 years (male/female)
• Patients with sufficient cognitive abilities that enables them to understand and follow instructions (mini mental scale)

Exclusion Criteria:

• Patients with communication problems
• Patients with a history of previous stroke or other neurological diseases or disorders
• Patients with inflammation, old fracture or prosthesis in the affected limb, neurological diseases that affect upper limb function other than stroke (e.g.: Multiple sclerosis, Peripheral neuropathy, Parkinsonism .... etc.), infection or dermatological conditions on acupuncture sites, musculoskeletal disorders such as severe arthritis, cardiovascular problems (unstable angina, recent myocardial infarction within the last three months, congestive heart failure, significant heart valve dysfunction, arrhythmia, implanted pacemaker or unstable hypertension) or pulmonary disorders, visual and auditory problems and patients with cognitive impairment.
• Any Contra indications for TENS, Other neurological & orthopedic conditions affecting upper limb, Patient with subluxed shoulder, Patient with shoulder hand syndrome.