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

Abstract


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  

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