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  4. Allied Health And Rehabilitation Science
  5. Rehabilitation
  6. Lower Limb Rehabilitation Using Modified Constraint-induced Movement Therapy And Motor Relearning Program On Balance And Gait In Sub-acute Hemiplegic Stroke: A Comparative Study

Lower limb rehabilitation using modified constraint-induced movement therapy and motor relearning program on balance and gait in sub-acute hemiplegic stroke: a comparative study

Nitika S Chavan1, Raghumahanti Raghuveer1

  • 1Department of Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, Maharashtra, 442004, India.

F1000Research
|September 18, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

This study compares the Motor Relearning Program (MRP) and Modified Constraint-Induced Movement Therapy (mCIMT) for improving balance and gait in stroke patients. Both therapies show promise, with further comparison to determine superiority.

Area of Science:

  • Neurorehabilitation
  • Physical Therapy
  • Stroke Recovery

Background:

  • Stroke is a leading cause of global disability and mortality.
  • Hemiplegic stroke patients often experience significant impairments in balance and gait.
  • Early rehabilitation is crucial for functional recovery.

Purpose of the Study:

  • To assess the impact of the Motor Relearning Program (MRP) and Modified Constraint-Induced Movement Therapy (mCIMT) on balance and gait in sub-acute hemiplegic stroke patients.
  • To compare the efficacy of MRP versus mCIMT in improving functional mobility after stroke.
  • To determine which therapeutic approach, MRP or mCIMT, is superior for sub-acute stroke rehabilitation.

Main Methods:

  • A randomized controlled trial involving 34 sub-acute hemiplegic stroke patients (17 per group).
Keywords:
Berg balance scaleDynamic gait indexHemiplegic StrokeModified constraint-induced movement therapy

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  • Interventions included Modified Constraint-Induced Movement Therapy (mCIMT) and Motor Relearning Program (MRP).
  • Outcomes were assessed using standardized measures for balance, gait, and functional mobility at baseline and six weeks.
  • Main Results:

    • The study aimed to compare the effectiveness of two distinct physiotherapy interventions.
    • Data collection focused on objective measures of motor function and patient-reported outcomes.
    • Results will indicate the relative benefits of mCIMT and MRP for specific functional domains.

    Conclusions:

    • Physiotherapy interventions can significantly improve functional mobility and balance in stroke survivors.
    • This study provides a direct comparison between mCIMT and MRP in a sub-acute stroke population.
    • Findings will guide clinical practice by identifying the most effective rehabilitation strategy.
    Motor relearning program