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Physiotherapy and Occupational Therapy Journal

Volume  11, Issue 4, Oct-Dec 2018, Pages 141-153
 

Original Article

Intermittent Pneumatic Compression and Mirror Therapy Improve Hand Functions after Stroke

Nishu Sharma1, Niraj Kumar2, Kshitij Uniyal3

1,3Assistant Professor 2Associate Professor, Dept. of Physiotherapy, Shri Guru Ram Rai Institute of Medical & Health Sciences, Patel Nagar, Dehradun, Uttrakhand 248001, India

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DOI: DOI: http://dx.doi.org/10.21088/potj.0974.5777.11418.4

Abstract

  Introduction: A stroke is a clinical syndrome characterized by rapidly developing clinical symptoms and/or signs of focal, and at times global (applied to patients in deep coma and those with subarachnoid haemorrhage), loss of cerebral function, with symptoms lasting more than 24 hours or leading to death, with no apparent cause other than that of vascular origin (Hatano, 1976) [1]. Need for Study: To compare two treatment protocols to improve hand functions in sub-acute stroke subjects. Methods: It is an experimental study design. Sample of convenience of thirty sub-acute stoke subjects are selected and divided into group A and group B. Group A receive Intermittent Pneumatic Compression combine with Mirror Therapy for their hemiplegic upper limb. Intermittent Pneumatic Compression is given for 30 minutes a day, 6 days a week for 4 weeks and Mirror Therapy is given for two hours a day, 6 days a week for 4 weeks. Group B receives ROM exercises, stretching; strengthen exercises for 60 minutes/day, 6 days a week for 4 weeks.

Discussion: Clinical Test for sensation (NSA), motor function (Brunstrom Motor Recovery Stages) and FIMS was used in this study to determine hand functions improved by Intermittent Pneumatic Compression and Mirror Therapy. The results obtained revealed interesting findings in sub-acute stroke subjects. Sensory as well as motor function improved by Intermittent Pneumatic Compression and Mirror Therapy. Sensory impairment is improved by Intermittent Pneumatic Compression. Conclusion: The study concluded that hand functions improved by Intermittent Pneumatic Compression and Mirror Therapy in sub-acute stroke subjects and interventions should
be emphasize to restore motor and sensory function. 

Keywords: Intermittent pneumatic Compression machine; Mirror (35x35cms); Plinth, Stepper; Table & Pillow.


Corresponding Author : Niraj Kumar, Associate Professor, Dept. of Physiotherapy, Shri Guru Ram Rai Institute of Medical & Health Sciences, Patel Nagar, Dehradun, Uttrakhand 248001, India