Effects of Sensory Stimulation Versus Sensorimotor Therapy on Spasticity, Motor Function and Daily Activities in Stroke

Effects of Exteroceptive and Proprioceptive Sensory Stimulation Versus Sensorimotor Therapy on Spasticity, Motor Function and Activities of Daily Living in Patients With Stroke

To compare effects of exteroceptive and proprioceptive sensory stimulation versus sensorimotor therapy on spasticity, motor function and activities of daily living in patients with stroke

It will be a randomized clinical trial in which total 42 stroke patients will be recruited through non probability convenience sampling techniques. Data will be collected from Gujranwala Medical College Teaching Hospital and Riphah Rehabilitation Center Lahore. The patients who are fulfilling the inclusion criteria will be randomly assigned to either group A (n=21) which will receive intervention exteroceptive and proprioceptive sensory stimulation or to group B (n=21) which will receive sensorimotor therapy for 50 minutes per session, 03 times a week, for 06 weeks. Baseline treatment will be given to both groups. Conventional therapy will be given for 20 minutes per session, 03 times a week, for 06 weeks. Data collection tools will be Fugl-Meyer Assessment, Modified Barthel Index and Modified Ashworth Scale.

Inclusion Criteria:

• The patients with chronic stroke (6 months to 2 years)
• Patient 's muscular activity on Stage 3 or higher according to the Brunnstrom's stages of stroke recovery.
• Patients having Mini Mental State Examination score > 24

Exclusion Criteria:

• Significant musculoskeletal impairments (e.g., arthritis, joint contractures).
• Any other neurological disorders like multiple sclerosis, Parkinson 's disease.
• History of orthopaedic surgery.
• Unstable medical conditions (e.g., uncontrolled hypertension, cardiovascular disease).
• Severe visual or vestibular impairments.
• Lower limb prosthesis.