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Paper Title: Analysis of Motor-Skill Transfer From Non-Paretic Limb To Paretic Limb And Vice-Versa In Stroke Patients
Authors Name: Ms. Apurva A. Joshi , Dr. R. M. Singaravelan
Unique Id: IJSDR2003005
Published In: Volume 5 Issue 3, March-2020
Abstract: BACKGROUND: Stroke is one of the leading causes of death and disability in India. Given the central role upper extremity (UE) plays in all activities of daily living, much attention should be given to its motor recovery. Stroke rehabilation in UE mainly focuses on the training of paretic limb during motor recovery. Bilateral arm training has proved to be beneficial in improving the paretic limb function. So, the aim of this study was to assess whether the side of motor skill transfer is significant in improving the UE functional performance and myoelectric activity after applying Proprioceptive Neuromuscular Facilitation (PNF) in stroke patients. MATERIALS AND METHOD: 20 participants with ages between 50 to 70 years were selected and were randomly divided into two groups. Group A was given training to the non-paretic UE first whereas Group B was given training to the paretic UE first. Both group A and B received 3 sessions per week, each session lasting for about 20 minutes for 3 days per week for 4 weeks. The outcome measures were assessed before and after intervention by Wolf Motor Function Test (WMFT) assessing UE functional performance and surface electromyography (sEMG) assessing myoelectric activity. RESULT: Statistical analysis (Student’s paired and unpaired ‘t’ test) showed no significant difference in WMFT findings but a significant difference in sEMG findings after applying PNF to both UE for 4 weeks, which means that the UE myoelectric activity showed better improvement than UE functional performance in the paretic extremity. Also, Group A (non-paretic side first) showed better improvement as compared to group B (paretic side first). CONCLUSION: Motor skill improvement is better when PNF is applied to the non-paretic UE first, then to the paretic UE as compared to vice-versa in stroke patients for the duration of 4 weeks.
Keywords: Stroke, motor skill transfer, Proprioceptive Neuromuscular Facilitation, Hemiparesis, Upper extremity, Wolf Motor Function Test and Electromyography. _____________
Cite Article: "Analysis of Motor-Skill Transfer From Non-Paretic Limb To Paretic Limb And Vice-Versa In Stroke Patients ", International Journal of Science & Engineering Development Research (www.ijsdr.org), ISSN:2455-2631, Vol.5, Issue 3, page no.15 - 22, March-2020, Available :http://www.ijsdr.org/papers/IJSDR2003005.pdf
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Publication Details: Published Paper ID: IJSDR2003005
Registration ID:191414
Published In: Volume 5 Issue 3, March-2020
DOI (Digital Object Identifier):
Page No: 15 - 22
Publisher: IJSDR | www.ijsdr.org
ISSN Number: 2455-2631

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