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Physiotherapy and Occupational Therapy Journal

Volume  17, Issue 1, January - March 2024, Pages 39-54
 

Original Article

Effect of Bilateral Arm Training Versus Dual Task Training with Conventional Therapy in Improving Upper Extremity Function and Adls in Stroke Patients

Effect of Bilateral Arm Training Versus Dual Task Training with Conventional Therapy in Improving Upper Extremity Function and Adls in Stroke Patients

1Professor, 2,3Associate Professor,  4Professor, Department of Physiotherapy, Shri Guru Ram  Rai School of Paramedical & Allied Health Sciences, Shri Guru Ram Rai University, Patel Nagar, Dehradun 248001,  Uttarakhand, India.
 

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DOI: http://dx.doi.org/10.21088/potj.0974.5777.17124.5

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.   Conclusion: 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  
 


Keywords : Stroke; Bilateral arm training; Dual task training; Conventional therapy; Upper extremity function.
Corresponding Author : Niraj Kumar,