Unilateral Versus Bilateral Task-specific Training on Motor Impairment, Upper Extremity Function, and Hand Dexterity in Post-Stroke Rehabilitation

Unilateral Versus Bilateral Task-specific Training on Motor Impairment, Upper Extremity Function, and Hand Dexterity in Post-Stroke Rehabilitation

This randomized clinical trial will examine upper limb rehabilitation in individuals recovering from stroke. The study will compare unilateral and bilateral task-oriented training approaches to determine their relative effectiveness. Thirty-two medically stable participants with active shoulder movement and adequate cognition will be enrolled into two groups. Both groups will receive structured training for four weeks. Outcomes related to motor function and dexterity will be measured using standardized assessment tools. The aim is to identify the more effective strategy for improving upper extremity function after stroke.

Inclusion Criteria:

• • Age between 40 and 75 years

  • Clinically diagnosed stroke (no more than three lifetime episodes)
  • Stroke duration between 6 to 24 months
  • Ability to perform antigravity shoulder movement with the paretic limb
  • Abbreviated Mental Test score ≥ 7
  • Medically stable and capable of giving consent

Exclusion Criteria:

• • Uncontrolled systemic conditions (e.g. Unstable cardiac conditions)

  • Major orthopedic issues affecting the involved upper limb
  • Hearing deficits
  • Allergy to electrodes
  • Receptive aphasia or severe language impairment
  • Severe joint contracture limiting required upper limb movements