الفهرس Only 14 pages are availabe for public view
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Abstract
Background and Purpose: Recovery of motor function after stroke may depend on balance of activity of neural network involving the affected and the unaffected motor cortices. Modified constrained induced movement therapy and bilateral arm training share similar key therapeutic elements (mass and repetitive practice with specific techniques). Constraint induced movement therapy acts through restraining the unaffected limb in combination with intensive training of the affected limb while bilateral arm training acts through utilization of the unaffected limb to enhance motor function in the affected limb. The aim of this study was to compare the effect of the two techniques on improving arm function in stroke patients. Patients and methods: Forty Five male ischemic stroke patients with age ranged between 45-55 years were included in this study. Patients were divided randomly into three equal groups. group I received modified constrained induced movement therapy in addition to a selected physical therapy program. group II received bilateral arm training in addition to the selected physical therapy program. group III received the selected physical therapy program. All patients were assessed pre and post treatment using Fugl-Meyer Scale, Action Research Arm Test, Box and Block test and Reaching Movement Kinematic Analysis using two dimensional analysis system