The Effect of Modified Constraint Induced Movement Therapy on Upper Extremity Function in Stroke Rehabilitation

The Effect of Modified Constraint Induced Movement Therapy on Upper Extremity Function in Stroke Rehabilitation

The purpose of the study is to determine the effect of Modified Constraint-Induced Movement Therapy and trunk restraint contrasted with conventional physical therapy treatment on improving upper extremity function, balance, and quality of life among chronic hemiplegic patients.

• To find out the effectiveness of conventional physical therapy treatment on improving upper extremity function, balance, and quality of life among chronic hemiplegic patients.
• To find out the effectiveness of modified constraint induced movement therapy (mCIMT) and trunk restraint along with conventional physical therapy treatment on improving upper extremity function, balance, and quality of life among chronic hemiplegic patients.
• To find out the effectiveness of modified constraint induced movement therapy (mCIMT) and trunk restraint combined with conventional physical therapy treatment versus conventional physical therapy treatment alone on improving upper extremity function, balance, and quality of life among chronic hemiplegic patients.

Inclusion Criteria:

• Right or left-sided chronic hemiplegic patients.
• Onset of stroke More than six months.
• Age between 45 to 65 years of both genders.
• Mini-Mental State Examination - Scored more than 24/30.
• Modified Ashworth Scale for spasticity 1 or 1+.
• Have at least 20° wrist active extension and at least 10° of metacarpophalangeal active extension of the paretic upper extremity.
• Have at least grade 2/5 of muscle power on upper extremity especially in wrist extensors.
• Have normal visual perception.
• With no other neurological disorders.

Exclusion Criteria:

• Unable to follow visual and oral commands.
• Unilateral neglect.
• Severe cognitive, or language deficits.