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Combined effect of Brunnstrom's hand rehabilitation and functional electrical stimulation for improving hand function in patients with chronic stroke: A randomized controlled trial.
Akter, Rahemun; Sharma, Nidhi; Ahmed, Sohel; Srivastav, Adarsh Kumar.
Afiliación
  • Akter R; Department of Physiotherapy and Rehabilitation, Mount Adora Hospital, Akhalia, Sylhet, 3100, Bangladesh.
  • Sharma N; Department of Neuro-physiotherapy, Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar (Deemed-to-be) University, Mullana, 133207, Haryana, India.
  • Ahmed S; Department of Physiotherapy and Rehabilitation, Mount Adora Hospital, Akhalia, Sylhet, 3100, Bangladesh; Physiotherapy Research Foundation, Akhalia, 3100, Sylhet, Bangladesh. Electronic address: ptsohel@gmail.com.
  • Srivastav AK; School of Health Science, Chhatrapati Shahu Ji Maharaj University, Kanpur, 208024, India.
J Bodyw Mov Ther ; 35: 84-90, 2023 07.
Article en En | MEDLINE | ID: mdl-37330808
BACKGROUND: Motor recovery of the upper extremity is one of the most common challenging outcomes after stroke. OBJECTIVE: To find out the combined effects of Brunnstrom hand rehabilitation (BHR) and functional electrical stimulation for improving hand functions in patients with chronic stroke. STUDY DESIGN: Randomized controlled trial. METHOD: 25 participants, both male (n = 11) and female (n = 14), age group between 40 and 70 years were randomly divided into control group (n = 12) and experimental group (n = 13). The treatment protocol was continued 5 days per week, for 4 weeks. The experimental group received Brunnstrom hand training and functional electrical stimulation (FES) along with conventional physiotherapy. The control group received only conventional physiotherapy. Participants were evaluated at baseline and after 4 weeks of intervention. OUTCOME MEASURES: Fugl Meyer Assessment scale-upper extremity, Modified Ashworth scale, Handheld Dynamometer, and Jabsen Taylor Hand Function Test. Paired t-test was used to compare within-group variables and an independent t-test was used for between-group comparisons. P-value was set as 0.05 to minimize type-1 error. RESULTS: Statistically significant difference was obtained in favor of the experimental group undergoing FMA (p < .001), MAS (p = .004), JTHF (p = .018), and HHD (p < .001) in between-group analysis. However, both groups showed significant improvement [experimental group; FMA-UE (p < .001), MAS (p < .001); JTHF (p < .001), and HHD (p < .001), and control group; FMA-UE (p < .001), MAS (p < .001), JTHF (p < .001) and HHD (p < .001)] in within-group analysis at post-intervention. CONCLUSION: Brunnstrom hand rehabilitation and FES in combination were found to be more effective in improving hand function than conventional physiotherapy treatment. CLINICAL TRIAL REGISTRATION: URL: http://www.ctri.nic.in. No: CTRI/2019/06/019,905.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Accidente Cerebrovascular / Rehabilitación de Accidente Cerebrovascular Tipo de estudio: Clinical_trials / Guideline Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Bodyw Mov Ther Asunto de la revista: MEDICINA FISICA / TERAPEUTICA Año: 2023 Tipo del documento: Article País de afiliación: Bangladesh Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Accidente Cerebrovascular / Rehabilitación de Accidente Cerebrovascular Tipo de estudio: Clinical_trials / Guideline Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Bodyw Mov Ther Asunto de la revista: MEDICINA FISICA / TERAPEUTICA Año: 2023 Tipo del documento: Article País de afiliación: Bangladesh Pais de publicación: Estados Unidos