Vol - 29, Issue - 04
About the Journal
[This article belongs to Volume - 29, Issue - 04]
International Medical Journal
Journal ID : IMJ-07-04-2022-1365
Total View : 469

Abstract : Stroke is the syndrome in which the cerebral dysfunction occurs and the symptoms last more than 24 hours which leads to death. There are different approaches that are used for the treatment of spasticity of upper limb in stroke patients like Bobath / Neurodevelopmental Treatment Approach and Motor Relearning Program. The objective of the study is to find out the comparison of Bobath / Neurodevelopmental Treatment Vs Motor Relearning Program for the spasticity of upper limb in chronic stroke patients. Study design was a randomized control trial with 80 sample size randomely allocated into MRP and NDT groups. Patients of around age of 45-70 were taken and both groups received routine physiotherapy as a baseline treatment approach and one group received MRP and the other received NDT for 8 weeks. The study was single blinded i.e the assessor was kept blinded. The pre test Mean Modified Ashworth Scale spasticity level of both groups was equal 2.73±0.640. After 4 weeks the mean Spasticity of Bobath / NDT group was 1.83±0.549 and the mean spasticity of MRP group was 1.48±0.640 which is quite less than Bobath / NDT group. After 8 weeks when the treatment ended the mean spasticity of Bobath / NDT group was 1.13±0.607 and the mean spasticity of MRP group was 0.65±0.622 which was significantly less than Bobath / NDT group. Both of the treatment approaches have proven to be effective in treatment of spasticity of upper limb among chronic stroke patients but the Motor Relearning Program has proven to be significantly more effective than Neurodevelopmental Treatment and has reduced Spasticity more efficiently.

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