https://www.ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com
ISSN:       2321-1822 (E) 2321-8975 (P)

IJPR.2019.187

DOWNLOAD PDF
Table of Contents

Type of Article:  Original Research

Volume 7; Issue 6 (December 2019)

Page No.: 3301-3303

DOI: https://dx.doi.org/10.16965/ijpr.2019.187

COMPARISON OF TASK ORIENTED APPROACH AND MIRROR THERAPY FOR POST STROKE HAND FUNCTION REHABILITATION

B. Ragamai *, K. Madhavi.

MNR Sanjeevani college of physiotherapy, Fasalwadi, MNR Nagar, Narsapur Road, Sangareddy, Telangana, India.

Corresponding Author: Ragamai Billa, MNR Sanjeevani college of physiotherapy. MNR Nagar, Narsapur Road, Sangareddy, Telangana, India. E-Mail: ragamai.reddy94@gmail.com

ABSTRACT

Objective The purpose of this study was to compare the effectiveness of task-oriented therapy and mirror therapy on improving hand function in post-stroke patients.

Subjects and Methods Total subjects 30 were randomly divided into two groups: the task-oriented group (15 patients) and the mirror therapy group (15 patients). The task-oriented group underwent task-oriented training for 45mins a day for 5 days a week for 4 weeks. The mirror therapy group underwent a mirror therapy program under the same schedule as task-oriented therapy. The manual dexterity and motor functioning of the hand were evaluated before the intervention and 4 weeks after the intervention by using FMA (Fugl-Meyer assessment) and BBT (Box & Block test).

Results Hand function of all patients increased significantly after the 4-week intervention program on the evaluation of motor function and manual dexterity by FMA and BBT in both the groups of Task-Oriented approach and Mirror therapy, but Group A Task-oriented approach improved more significantly when compared to Group B Mirror therapy.

Conclusion The treatment effect was more in patients who received a Task-Oriented approach compared to Mirror therapy. These findings suggest that the Task-Oriented approach was more effective in post stoke hand function rehabilitation.

Key words: Task-oriented approach, mirror therapy, stroke, hand function.

REFERENCES

  1. Aho K, Harmsen P, Hatano S, Marquardsen J, Smirnov VE, Strass, et al. Cerebrovascular disease in the community: results of a WHO collaborative study. Bull World Health Organ. 1980; 58:113-130.
  2. Archives of Physical Medicine and Rehabilitation by the American Congress of Rehabilitation Medicine. Published by Elsevier Inc 2016;97:1526-32
  3. Jordan K, King M. Augmented reality assisted upper limb rehabilitation following stroke. INTECH Open Access Publisher; 2011 Dec 9.
  4. Kwakkel G, Kollen BJ, van der Grond J, Prevo AJ. Probability of regaining dexterity in the flaccid upper limb: impact of severity of paresis and time since onset in acute stroke. Stroke. 2003 Sep 1;34(9):2181-6.
  5. Raghavan P, Krakauver JW, Gordon AM. Impaired anticipatory control of fingertip forces in patients with a pure motor or sensorimotor lacunar syndrome. Brain 2006; 129: 1415-25.
  6. Teasell RW, Foley NC, Salter KL, Jutai JW. A Blueprint For Transforming Stroke Rehabilitation Care In Canada: The Case For Change. Archives of Physical Medicine and Rehabilitation 2008;89:575–578.
  7. Hubbard IJ, Parsons MW, Neilson C, Carey LM. Task‐specific training: evidence for and translation to clinical practice. Occupational Therapy International 2009;16(3‐4): 175-189.
  8. Shumway-Cook A, Woollacott MH. Motor Control: Translating Research Into Clinical Practice 2006.
  9. Rothgangel AS, Braun SM, Beurskens AJ, Seitz RJ, Wade DT. The clinical aspects of mirror therapy in rehabilitation: a systematic review of the literature. Int J Rehabil Res. 2011;1:1-13.
  10. Thieme H, Mehrholz J, Pohl M, Behrens J, Dohle C. Mirror therapy for improving motor function after stroke. Cochrane Database Syst Rev. 2012;14; 3: CD008449.
  11. Birkenmeier RL, Prager EM, Lang CE. Translating animal doses of task-specific training to people with chronic stroke in 1-hour therapy sessions: a proof-of-concept study. Neurorehabilitation and neural repair 2010; 24(7):620-635.
  12. Carr J, Shepherd R. Movement Science: Foundations for Physical Therapy in Rehabilitation. 2nd edition: Aspen Publishers 2000.
  13. Priyanka A kale, Sharda Bhalearo et al. Effect of early physiotherapy intervention on hand function in acute stroke patients. International Journal of Multidisciplinary Research and Development 2018;5(1):110-114.
  14. Dohle C, Püllen J, Nakaten A, Küst J, Rietz C, et al. Mirror therapy promotes recovery from severe hemiparesis: a randomized controlled trial. Neurorehabilitation and neural repair2009;23(3):209-217.
  15. Kim JH, Lee B. The Effect of Mirror Therapy on Functional Recovery of Upper Extremity after Stroke: A Randomized Pilot Study. Journal of Experimental Stroke & Translational Medicine. 2017 Jan 24;10(1):1-7.
  16. Yoo, S. J. An effect of mirror therapy on upper extremity function and activities of daily living in patients with post-stroke hemiplegia. Daegu, South Korea: Department of Occupational Therapy Graduate School of Rehabilitation Science, Daegu University 2010.
  17. Baek N. Y. Effects of mirror therapy on hemiplegia in the function of the lower extremity. Daegu, South Korea: Department of Physical Therapy, Graduate School of Rehabilitation Science, Daegu University 2009.
  18. Paik, Y. R., & Kim, S. K. A task-oriented approach consisting of modified constraint-induced movement therapy (m-CIMT) and bimanual activity effects on upper extremity function and activities of daily living (ADL) in stroke patients. Journal of Korean Academy of Occupational Therapy 2010;18:79-93.
  19. Utley, A., & Sugden. Interlimb coupling in children with hemiplegic cerebral palsy during reaching and grasping at speed. Developmental Medicine and Child Neurology 1998;40:396-404.

Cite this article: B. Ragamai, K. Madhavi. COMPARISON OF TASK ORIENTED APPROACH AND MIRROR THERAPY FOR POST STROKE HAND FUNCTION REHABILITATION. Int J Physiother Res 2019;7(6):3301-3307. DOI: 10.16965/ijpr.2019.187