Abstract

Introduction: The term stroke was coined and introduced to medicine by William Cole in the late 17th century (Cole 1689). Physiologically stroke is an acute, focal injury of the central nervous system of a vascular origin, contributing to a local or systematic neurological insult. Stroke is one of the largest causes of disability, half of the stroke survivors have a disability and approximately one third of all stroke patients suffer from a severe arm paresis. Functional loss of upper extremity causes difficulty in performing activities of daily living and causes to become dependent. The main aim of stroke rehabilitation is to enable the highest functional independence level possible for individual and to increase the quality of life. Sujective: 30 subjects having radiological diagnosis of stroke were selected according to the inclusion criteria. Functional ability was evaluated with the help of UEFI and Fugl-Meyer score for paretic upper limb. The subjects of group A received bilateral arm training with conventional therapy and the subjects of group B received dual task training with conventional therapy to improve upper extremities function performance of ADL in stroke. The post intervention data was compared with pre-intervention data and improvement in the functional activity of upper extremity is measured. Procedure: All the participants were explained about the purpose of study. the subjects were screened for inclusion and exclusion criteria and then the baseline measurement was taken. An informed consent was taken from patients who were willing to participate in the study. Eligible subjects were randomly allocated into two groups. GroupA received bilateral arm training with conventional therapy and the subjects of group B received dual task training with conventional therapy to improve upper extremities function performance of ADL in stroke. The study was of 8 week, 5 days per week at department of physiotherapy in SMIH. onclusion: Bilateral arm training and dual task training along with conventional therapy both shows improvement in upper extremity function in stroke patients. But dual task training along with conventional therapy shows more improvement in reaching forward, grasping, manipulating objects and also improves other fine motor functions of hand after 8 weeks of therapy.

• 1.   J phys Ther Sci 2015 may; 27[5]: 1353-1355 Gui Bin song, MS,PT: The effect of task oriented versus repetitive bilateral arm training on upper limb function and activities of daily living in stroke patients.
• 2.   Osong public health res. Perspect. 2019 feb; 10[1]: 2-5. juHyung Park: Dual task training effects on upper extremity functions and performance of daily activities of chronic stroke patients.
• 3.   Humera Ambreem [department of physical therapy, shifa tamer e millet university Islamabad Pakistan.], Hina tariq [Bournemouth university, united kingdom], Imran amjad [center of chiropractic research New Zealand college of chiropractic, aukland 1060, New Zealand. Jan.-B 2021, vol 1 :effect of BAT on UE function in right and left hemispheric stroke.
• 4.   Min-jae lee et al. J stroke cerebrovasc Disc 2017 may: Effectiveness of bilateral arm training for improving extremity function and activities of daily living performance in hemiplegic patients.
• 5.   Siyun chen et al.[2022]: Effectiveness and success factor of bilateral arm training after stroke: a systematic review and meta analysis.
• 6.   Tara Tobias PT, DPD, NCS board certified neurologic physical therapy specialist July 18,2018:-dual tsk training
• 7.   Wilkinson PR, wolfe CD (1997) et. al. A long term follow-up of stroke patients. Stroke; vol 28; pp 507-512.
• 8.   T. schick, HP. Schlake (2017) et. al. Synergy effects of combined multi-channel EMG- triggered electrical stimulation and mirror therapy in subacute stroke patients with severe or very severe arm/hand paresis. Restorative neurology and neurosci; vol 35; pp319-332
• 9.   Vasu Saini, MD, luis huada: Global epidermiology of stroke and access to acute ischemic stroke interventions.
• 10.   Diji Kuriakose and Zhicheng Xiao et al. (15 October 2020) Pathophysiology and Treatment of Stroke: Present Status and Future Perspectives, Int. J. Mol. Sci, volume 21, pp 1-24.
• 11.   Hedid moawrd, md [July 22] very well health: Causes and risk factor of stroke.
• 12.   Stephen JX murphy and david J werring [2020 september]: 48[9]: 561-566. National liberary of medicine; national center for biotechnology information: stroke: causes and clinical features.
• 13.   Catherine Donaldson, PhD, Raymond Tallis et. al. (May 2009) Effects of Conventional Physical Therapy and Functional Strength Training on Upper Limb Motor Recovery After Stroke: A Randomized Phase II Study, Neurorehabilitation and Neural Repair Volume 23 Number 4,pp- 389-397.
• 14.   Alexander P Coupland, Ankur Thapar and alunh Davies; Definition of stroke
• 15.   Anabel McDermott [OT], Nicol korner bitensky [PhD OT], Tatiana ogourtsova [PhD OT]: 11.06.2018:- Bilateral arm training.
• 16.   Oliver johes, Dec 15, 2022: the arterial supply to the central nervous system
• 17.   Paresh parmar [10 jan. 2018] : transparency and accountability in pharmaceutical and health system :- Stroke classification and diagnosis.
• 18.   Howard E. lewine, MD, chief medical editor, Harvard health publishing [Feb. 22, 2022]:- Thrombotic stroke.
• 19.   Faisal Ibrahim: najib murr. [17 oct. 2022]: National liberary of medicine : embolic stroke.
• 20.   Mary ellen stoykov, phd, gwyn N. lewis, phd, and Daniel M. corcos, phd : dec 2009:- Comparison of bilateral and unilateral training for upper extremity hemiparesis in stroke.
• 21.   GUI BIN SANG, MS, PT effect of task orented versus repitative BAT
• 22.   David Gladstone et al. (2002) the fugal Meyer assessment of motor recovery after stroke; a critical review of its measurement properties. Published by the American society of neurorehabilitation 16(3)
• 23.   C.phillip gabel, et. al. (2006) The upper limb functional index; development and determination of reliability, validity, and responsiveness. Journal of hand therapy 19, pp 328-349.

Data Sharing Statement

Funding