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• W2891294830 abstract "INTRODUCTION:Stroke or cerebral vascular accident is the sudden death of brain cells due to inadequate blood flow. The WHO clinically defines stroke as the rapid development of clinical signs and symptoms of a focal neurological disturbance lasting more than 24 hours or leading to death with no apparent cause other than vascular origin.Stroke is one of the leading causes of mortality and morbidity worldwide.Stroke increases with age. Indian studies have estimated that the prevalence rate of stroke increases from 21/100,000 for the age group 20-40 to 625/100,000 in the age group 60 and above. However in India, the prevalence of stroke in younger individuals is high compared with high-income countries. Stroke is a global health care problem that is both serious and disabling. In high income countries, stroke is the main cause of acquired cause of death and is the main cause of acquired adult impairment. As most patient with stroke survive with initial injury, the best effect on patient and families is usually through long term impairment .It has been shown that about 40% of people who survive a stroke still have significance impaired function in this affected arm after 3 months, whereas 40% have middle to moderate impairment and only 20% have entirely normal function.OBJECTIVES:1. To find out the effectiveness of mirror box therapy on wrist and hand function, frequency and quality of upper limb movement among stroke patients.2. To find out the effectiveness of proprioceptive neuromuscular facilitation on wrist and hand function, frequency and quality of upper limb movement among stroke patients.3. To compare the effect of mirror box therapy and proprioceptive neuromuscular facilitation on wrist and hand function, frequency and quality of upper limb movement among stroke patients.METHODOLOGY3.1. Study Setting:The study was conducted in outpatient department Sri Kumaran Multi Specialty Hospital, Tirupur.3.2. Selection of subjects:20 subjects were randomly selected who fulfilled the inclusion and exclusion criteria and divided into 2 groups.• Group A - Mirror Box Therapy.• Group B - Proprioceptive Neuromuscular Facilitation technique.Variables :Dependent variables:• Wrist and hand function.• Frequency of upper limb movement.• Quality of upper limb movement.Independent variable:• Mirror box therapy.• Proprioceptive neuromuscular facilitation technique. Study design:The study design was pre and post-test experimental design.Inclusion criteria:• Clinically diagnosed anterior cerebral artery stroke patients.• Brunstrom's stages 3 and 4.• Subjects of age group between 40 to 55 years.• Subjects who are able to understand and follow verbal instructions.• Medically stable.Exclusion criteria:• Perceptual and cognitive deficits.• Subject with visual impairment.• Subjects with recurrent episodes of stroke.• Subjects with shoulder hand syndrome.• Subjects with tumors and fracture.RESULTS:20 stroke subjects were selected for the study. The subjects were randomlydivided into two groups.Group A was treated with Mirror Box TherapyGroup B was treated with Proprioceptive neuromuscular facilitation techniquesThe patient was treated for one session a day like that 8 weeks. Before starting thetreatment, wrist and hand function was graded by Fugl Meyer’s scale and frequency ofupper limb movement was graded by motor activity log (how often scale or amountscale). Quality of upper limb movement was graded by motor activity log (how wellscale). The measurement was repeated at the end of the study duration.CONCLUSION:An experimental study was conducted to investigate the effectiveness of mirror therapy and proprioception neuromuscular facilitation techniques in the management of stroke.20 patients with stroke were included in this study and randomly divided into two groups A and B each group consist of 10 subjects. Group A was treated with mirror box therapy. Group B was treated with proprioceptive neuromuscular facilitation techniques. Wrist and hand function, frequency and quality of upper limb movement were assessed before and after intervention by Fugl Meyer’s Scale and Motor Activity Log (how often and how well scale).The statistical result shows that there is improvement in both the groups.But when comparing both it was found that mirror box therapy is more effective than proprioceptive neuromuscular facilitation techniques." @default.
• W2891294830 created "2018-09-27" @default.
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• W2891294830 date "2016-04-01" @default.
• W2891294830 modified "2023-09-26" @default.
• W2891294830 title "A Study on the Effectiveness of Mirror Box Therapy and Proprioceptive Neuromuscular Facilition Technique in Management of Upper Limb Function among Stroke Patients" @default.
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