Abstract:
Purpose: The purpose of the study was to elicit the effectiveness of modified upper
limb sports on hand function in tetraplegic Spinal Cord Lesions patients at CRP.
Objectives: To explore the socio-demography information, determine the
effectiveness of upper limb sports on the motor score, and impact of modified sports
on hand function. Methodology: The dissertation was an experimental study with a
Quasi-experimental study design. From 20 June to 20 September 2021, 20 people
with SCL participated in this study from the inpatient treatment service of Spinal
Cord Injury Unit, Physiotherapy Department, Centre for the Rehabilitation of the
Paralysed (CRP), Savar, Dhaka. Patients with tetraplegia who participated in boccia
sports were eligible for inclusion and patients with seizure disorders were excluded
from this study. A structured questionnaire had used for socio-demographic
information, ASIA impairment scale, and DASH scale. A statistical test has been
conducted as per the distribution of data. Descriptive statistics have been performed
by mean, SD, frequency, percentage. Inferential statistics has been performed through
paired t-test and Wilcoxon tests. Results: This study showed male participants about
95% (19) and 5% (1) were female. Males were more affected than females. The most
vulnerable age range was 21 to 30 years. Significant changes have been noted in the
total sensory-motor, DASH score. Sensory score changes[MD 26.550±39.717, 95%
CI (45.138, 7.962), t 2.99, P<.01];total motor score [MD 12.400±17.089, 95% CI
(20.398, 4.402), t 3.245, P<.01]; total DASH score [MD 10.13± 5.54, 95% CI (7.53,
12.72), t 8.18, P <.001]; Conclusion: Boccia sports had significant effect in hand
functions and neurological status in patients with tetraplegic Spinal cord lesion in
their rehabilitation phase. Future RCTs are recommended for the isolated effect of the
game.
Key Word: Spinal Cord Lesion, Tetraplegia, Boccia sport’s, Hand function
Description:
This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.
