To Study the Effects of CIMT (Constraint-Induced Movement Therapy) Vs. GRASP (Graded Repetitive Arm Supplementary Program) Training in Improvement of Arm and Hand Function in Chronic Stroke Patients: A Comparative Study

Abstract

Stroke is the leading cause of adult disability and inpatient rehabilitation admissions. An estimated 70% of the patients who survive a stroke are unable to use their limbs (UE/LL) independently during the first 3 to 4 weeks post stroke. Patients, who have suffered a stroke, experience loss, uncertainty, and social isolation, as stroke represents a sudden, overwhelming, and fundamental change for the survivor. Personal control over progress, optimism, and fears of dependency, as well as markers of independence and interaction with therapists, were identified as important factors influencing recovery. The objective of the study was to study the effectiveness of CIMT and GRASP techniques in improvement of hand and arm function a comparative study. 30 post-stroke patients (affected for a period of more than 3 months), 40–60 years of age were randomly assigned to CIMT and GRASP were collected on day 0, day 90. Paired t-tests were used for statistical interventions. Assessment of Fugl Meyer scale and action research arm function test scale was performed. Result: Analysis of scores showed significant improvement (p<0.005) overtime within the groups and inter-group analysis showed statistical significance. Conclusion: Thus, it can be concluded that GRASP is better than CIMT technique in improving arm and hand function in chronic stroke patients.

Keywords: Stroke, Fugl Meyer scale, Action Research Arm Test scale, CIMT, GRASP

Cite this Article

Jani Hazarika Bora, Bhatri Pratim Dowarah. To Study the Effects of CIMT (Constraint-Induced Movement Therapy) Vs. GRASP (Graded Repetitive Arm Supplementary Program) Training in Improvement of Arm and Hand Function in Chronic Stroke Patients: A Comparative Study. Research and Reviews: Journal of Neuroscience. 2018; 8(3): 24–29p.