• Conventional range of motion (ROM) exercises
• Muscle strengthening exercises
• Fine motor skill exercises
• Functional rehabilitation exercises The group will be followed 3 times per week for 8 weeks.

• Conventional range of motion (ROM) exercises

• Muscle strengthening exercises

• Fine motor skill exercises

• Functional rehabilitation exercises

  • Experimental Group: (Conventional therapy + Sensory Training)

• Desensitization training (exposure to various textures and stimuli to improve sensory tolerance)

• Proprioceptive exercises (closed-eye position sense training, weight transfer exercises)

• Tactile stimulation The group will be followed 3 times per week for 8 weeks.

• Conventional range of motion (ROM) exercises
• Muscle strengthening exercises
• Fine motor skill exercises
• Functional rehabilitation exercises

The monofilament test is a clinical assessment method used to evaluate sensory function and detect peripheral nerve damage. It is widely used in physiotherapy and neurology to measure tactile sensitivity and identify sensory impairments.

1. The patient is comfortably seated, and the test area is exposed.

2. Applying the monofilament:

   • The monofilament is placed perpendicularly to the skin surface.
   • It is gently pressed until it reaches its bending point (held for approximately 1-2 seconds).

3. Patient response: The patient is asked to indicate when they feel the touch.

4. Recording results: The areas where the patient does or does not feel the stimulus are noted, creating a sensory map.

The Numeric Pain Rating Scale (NPRS) is a measurement method based on the patient's numerical expression of pain. It is commonly used to determine the intensity of pain and track changes during the treatment process.

Test Procedure Explaining the Scale to the Patient: A scale ranging from 0 to 10 is shown to the patient. 0 = No pain, 10 = The most intense pain imaginable. The patient is asked to choose the number that best represents their current pain.

Hand Dynamometer: The hand dynamometer is a device used to measure hand grip strength and is commonly used in the evaluation of hand functions.

• The device is placed on a stable surface and calibrated to ensure accurate measurement.
• The patient should sit or stand in a comfortable position, with the elbow typically bent at a 90-degree angle.
• The patient holds the dynamometer and is asked to squeeze the handle.

Pinch Meter: Pincer Meter is a device used to measure the strength of a pinching or gripping action, typically between the thumb and index finger.

• The patient should be seated comfortably or standing, with their elbow typically at a 90-degree angle.
• The device measures the force exerted between the thumb and index finger.
• The test will repeat three times, and the highest value is recorded.