| Comparison of Brunnstrom movement therapy and motor relearning program in rehabilitation of post-stroke hemiparetic hand: A randomized trial. | |
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MedLine Citation:
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PMID: 22703742 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Motor recovery of the hand usually plateaus in chronic stroke patients. Various conventional and contemporary approaches have been used to rehabilitate the hand post-stroke. However, the evidence for their effectiveness is still limited. OBJECTIVE: To compare the hand therapy protocols based on Brunnstrom approach and motor relearning program in rehabilitation of the hand of chronic stroke patients. METHODOLOGY: Design: Randomized trial. Setting: Outpatients attending the occupational therapy department of a rehabilitation institute. Subjects: 30 post-stroke subjects (35.06 ± 14.52 months) were randomly assigned into two equal groups (Group A and Group B), Outcome Measures: Brunnstrom recovery stages of hand (BRS-H), Fugl-Meyer assessment: wrist and hand (FMA-WH). Intervention: Group A received Brunnstrom hand manipulation (BHM). BHM is the hand treatment protocol of the Brunnstrom movement therapy, which uses synergies and reflexes to develop voluntary motor control. Group B received the Motor Relearning Program (MRP) based hand protocol. MRP is the practice of specific motor skills, which results in the ability to perform a task. Active practice of context-specific motor task such as reaching and grasping helps regain the lost motor functions. RESULTS: Both the therapy protocols were effective in rehabilitation of the hand (BRS-H; p = 0.003 to 0.004, FMA-WH; p < 0.001). However, the results were statistically significant in favor of group A undergoing BHM for FMA-WH (p < 0.004) and FMA item VIII (hand motor recovery) (p < 0.033). CONCLUSION: BHM was found to be more effective than MRP in rehabilitation of the hand in chronic post-stroke patients. |
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Authors:
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Shanta Pandian; Kamal Narayan Arya; E W Rajkumar Davidson |
Publication Detail:
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Type: Journal Article Date: 2011-12-06 |
Journal Detail:
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Title: Journal of bodywork and movement therapies Volume: 16 ISSN: 1532-9283 ISO Abbreviation: J Bodyw Mov Ther Publication Date: 2012 Jul |
Date Detail:
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Created Date: 2012-06-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9700068 Medline TA: J Bodyw Mov Ther Country: United States |
Other Details:
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Languages: eng Pagination: 330-7 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 Elsevier Ltd. All rights reserved. |
Affiliation:
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Pt. Deendayal Upadhyaya Institute for the Physically Handicapped (University of Delhi), Ministry of Social Justice & Empowerment, Govt. of India, New Delhi-110002, India. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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