All stroke patients were assessed via isokinetic dynamometer, Montreal cognitive assessment scale (MOCA) and Fugl Myer Upper extremity (FMUE) before and after the treatment program.
The patients were classified randomly into three equal groups, Study group A (GA) receiving modified constraint induced movement therapy in addition to conventional physical therapy program, Study group B (GB) receiving dual task training in addition to conventional physical therapy program and control group C (GC) receiving only conventional physiotherapy program.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
45
patient wears a restraint instrument in his unaffected hand, then applying massed practice to his affected upper extremity. The patient wears padded glove in his unaffected upper extremity for restraining the patient from using his unaffected upper extremity for about 3 hours per day including the treatment session and the home program. So, by this way the patient is reinforced to use his affected upper extremity during this period of time to achieve his activities of daily living. Finally, the total time, the patient spends it during the day wearing the glove should be recorded each day.
Verbal fluency: Ask the hemiparetic patient to title many words of specific type as fruits, vegetable or animals. Mental tracking: as the hemiparetic patient to subtract serial 3 between number 90 and 100.
Al Ryada University for Science and Technology
Sadat, Menoufia, Egypt
Biodex isokinetic dynamometer
Used to assess muscle strength and function
Time frame: 4 weeks
Montreal cognitive assessment
a quick test that is used to examine mild cognitive impairment and early dementia.
Time frame: 4 weeks
Fugl Myer upper extremity
a scale used to measure the functional impairment of stroke
Time frame: 4 weeks
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Ultrasound on shoulder. Graduated active exercises for shoulder. Prolonged stretching for spastic muscles