Effectiveness of task-oriented training to improve upper limb- function/recovery among spinal cord injury tetraplegic patient

Abstract

Introduction: Spinal cord injuries are a global health issue that affects a substantial number of individuals globally, resulting in either lifetime impairment or death. Trauma, infection, ischemia, tumor, or congenital illness can all result in SCI. Worldwide, the prevalence of SCI is approximately 15-40 persons per million, with incidence rates ranging between 10.4 and 83 cases per million in one year. Objectives: The objectives were to assess the effectiveness of task-oriented training to improve upper limb function among spinal cord injury tetraplegic patient. Methodology: Randomized Control Trial study was chosen to conduct this study. 30 participants were selected according to inclusion criteria and concealed allocated in both group. In experimental group, subjects were treated with task- oriented training whereas subjects in control group treated only conventional therapy with 15 sessions in four weeks. Measurement tools:Modified SCIM scale for upper limb , standard structured questionnaires were used to assess the upper limb independence on 30 participants. Analysis: Analysis was done through SPSS v20. For the between group analysis, Mann-Whitney U test was used and for the within group analysis, Wilcoxon test was used due to non-parametric data. Results: Among 30 participants the mean age of experimental group was 34.73 with standard deviation (±10.194), median 35, mode 30, maximum age 56, minimum age 18 and control group mean was 39.93 with standard deviation (±13.483), median 40, mode 40, maximum age 65, minimum age 19 of the participants. In statistical analysis,through mann whetney U test there were significant improvement of dressing function and writting skill .In wilcoxon test,all function were significant in experimental group, on the other hand, in control group ,maximum function were significant without transfer and bathing function. Conclusion: Overall in this research shows that the task-oriented training is effective for improve upper limb recovery. Keywords: Spinal cord Injury; task-oriented training ;upper limb function;tetraplegia Abstract