Effectiveness of modified constraint induced movement therapy along with conventional physiotherapy for improvement of upper extremity function for hemiplegic patients with stroke

Abstract

Purpose: The purpose of the study was to find out the effectiveness of Modified Constraint Induced Movement Therapy with conventional physiotherapy compare to only conventional physiotherapy for hemiplegic stroke patients. Objectives: To compare between the activities of daily living before and after conventional physiotherapy with modified constraint induced movement therapy and conventional physiotherapy alone in patients with hemiplegic. Methodology: 10 patients with hemiplegic type of stroke were selected and randomly assigned, 5 patients to the modified constraint induced movement therapy with conventional physiotherapy group and 5 patients to the only conventional physiotherapy group for this randomize control trial study. The study was conducted at neurology department of CRP, Savar. Motor Activity Log (MAL) was used to measure activities of daily living before and after the application of treatment. Data was analysed by using Mann Whitney U test and Statistical Package for the Social Sciences (SPSS) 20 was used to decorate data. Results: After observing pre-test and post-test score the significant improvement was found. The study found that the both control group and experimental group showed significant improvement in motor function in Motor activity but the experimental group statistically showed more improvement than the control group. Conclusion: This experimental study showed that modified constraint induced movement therapy with conventional physiotherapy is more effective than conventional physiotherapy alone for stroke patients with hemiplegia.

Key words: Stroke, Hemiplegia, Conventional physiotherapy, Modified constraint induced movement therapy.