Comparison of motor relearning programme with proprioceptive neuromuscular facilitation on upper limb function in stroke patients

Preeti Gazbare, Tanuja Hemant Mahajan, Tushar Palekar, Manisha Rathi, Shilpa Khandare


ABSTRACTIntroduction-Stroke is an acute, neurological event that is caused by an alteration in blood flow to the brain leading to loss of upper limb function contributing to functional disability, affecting quality of life and independence in ‘basic’ and ‘instrumental’ activities. Motor Relearning Programme (MRP) is a task-oriented approach to improving motor control, focusing on the relearning of activities and PNF approach is a neuro-motor development training to improve motor function and facilitate maximal muscular contraction. Objective- the study was done to find the effectiveness of Motor Relearning Programme and Proprioceptive Neuromuscular Facilitation in improving upper limb function in stroke patients.Methods-30 stroke patients with upper extremity tone of less than 2 on Modified Ashworth Scale and Brunnstorm Voluntary Control score of 4 and 5 were selected. They were divided into two groups by simple random sampling: One group received MRP training while other with PNF training along with conventional therapy for 4 times a week for 4 weeks. Pre and post assessment was done by using Fugl Meyer Upper Extremity and Upper Extremity Stream Index. Statistical analysis done by using Wilcoxon Signed Rank Test and Mann Whitney U test. Results-Significant improvement within the groups seen in Fugl Meyer Upper Extremity and Upper Extremity Stream Index but when compared there was no statistical significance seen in Fugl Meyer(p=0.738) and STREAM(p=0.231).Conclusion: MRP and PNF training were equally effective in improving upper limb function in stroke patients. Keywords- Stroke, Fugl Meyer, Stream Index, MRP, PNF  

Full Text:




Gajanan Bhalerao, Vivek Kulkarni, Chandali Doshi, Savita Rairikar. Comparison of Motor Relearning Programme versus Bobath approach at every two week interval for improving Activities of daily living and ambulation in acute stroke rehabilitation. International Journal of Basic and Applied Medical Science. 2013 Vol. 3,pp. 70-77.

Chachu Kuriakose, Naseem Shafafiya M et al . a prospective study of clinical profile of stroke in a tertiary care hospital. Asian Journal of Pharmaceutical and Clinical Research, 2016, Vol 9, Suppl 3.

Puneet Rehani, Reena Kumari, Divya Midha. Effectiveness of motor relearning programme and mirror therapy on hand functions in patients with stroke-a randomized clinical trial, International Journal of Therapies and Rehabilitation Research 2015; 4 (3): 20-24

Garcia JH et al., In Barnett HJM et al (eds) Stroke Pathophysiology, Diagnosis, and Management New York Churchill Livingstone 1992 125

Stroke/Brain Attack reporter's Handbook. Englewood, Colo: National Stroke Association, 1995

Carr JH, Shepard RB. A motor relearning programme for stroke. 2nd ed. Oxford: Butterworth-Heinemann, 1987.

Karen Rocha De Moraes, Evelim Leal De Freitas Dantas Gomes*, Samantha Souza Possa and Luciana Barcala. Effects of PNF Method for Hemiplegic Patients with Brachial Predominance after Stroke: Controlled and Blinded Clinical Trial. Neurological Research and Therapeutics 2014, 2378-8933-1-10

Susan S. Adler, Dominiek Beckers, Math Buck. PNF in practice. All illustrated guide. Third edition,with 215 figures in 564 separate illustrations.

Gražina Krutulytė Et Al, The Effectiveness Of Physical Therapy Method In Rehabilitation Of Stroke Patients. Medicina, 2003, 39 Tomas, Nr. 9.

Sana Batool et al, To Compare The Effectiveness Of Constraint Induced Movement Therapy Versus Motor Relearning Programme To Improve Motor Function Of Hemiplegic Upper Extremity After Stroke. Pak J Med Sci, 2015, Vol. 31 No. 5.

Franco CB, Pires LC, Pontes LS, Souza EJ (2006) Evaluation of range of motion in children with cerebral palsy after botulinum toxin injection followed by physiotherapy. RerTo Med 20: 43-49.

Dean CM, Mackey FH, Katrak P (2000) Examination of shoulder positioning after stroke: A randomized controlled pilot trial. Austr J Physiother 46: 35-40.

Tomaszâ Wolny et al, Butler’s Neuro-mobilizations Combined With Proprioceptive Neuromuscular Facilitation Are Effective In Reducing Of Upper Limb Sensory In Late-Stage Stroke Subjects: A Three-Group Randomized Trial. Clinical Rehabilitation, 2010; 24: 810–821


  • There are currently no refbacks.