Effects of Sensory Re Education on Hand Dexterity in Post Stroke Clients – A Comparative Study
INTRODUCTION CVA is a lesion in the brain commonly referred to as stroke, an insult or shock because of its sudden onset. It results in paralysis of one side of the body hemiplegia or both sides of the body bilateral hemiplegia . The lesion is characterized by an interruption of the blood supply to the brain tissues in a particular location, caused by thrombus, embolus, anoxia, hemorrhage or aneurysm.OBJECTIVE To see the effect of sensory re education on hand dexterity in post stroke clients.HYPOTHESIS Active sensory training is less effective as compared to passive sensory training in improving hand dexterity in post stroke clients. No difference is observed between active sensory training and passive sensory training in post stroke clients.DESIGN An experimental pretext – posttest study design was used.PARTICIPANTS 30 adults, both male and female with history of first stroke, who were attending the Department of Occupational Therapy S.V.N.I.R.T.A.R, who fulfilled the inclusion criteria, were recruited for the study.MAIN OUTCOME MEASURES MINNESOTA MANUAL DEXTERITY TEST MMDT MOBERG PICK UP TESTRESULTS The result of the study shows that both after stroke of active sensory training and passive sensory training as an adjunct to conventional occupational therapy showed significant improvement in the MMDT and MPUT scores for hand dexterity within the group but in between the groups in MMDT only turning shows significant improvement where as the MMDT placing subtests and MPUT score does not show any significant improvement.CONCLUSIONS From the obtained results of the study is seen that the stroke patients improve in their MMDT turning subtest score where as there is no improvement in MPUT score for the dexterity so it suggests that there is improvement in motor component in both the groups but there is no significant improvement in sensory component on both the groups.
Stroke, proprioception, Sensory reeducation, Dexterity, sensory feedback, Impairments
Miss. Ankita Rout | Mrs. Pragyan Singh