EFFECT OF ARM ERGOMETRY TRAINING ON SPASTICITY AND MOTOR PERFORMANCE IN PERSONS WITH HEMIPLEGIA DUE TO STROKE
*Janmejai Bhuarya, (MPT), Monalisa Pattnaik, MPT and Dr. Patitapaban Mohanty, Ph. D.
Background: Motor deficits of the upper limb following stroke may range from total paralysis to partial paresis. There are three main components of compromised motor performance following stroke - weakness, impaired inter-segmental coordination, and hyper-reflexia or spasticity. Arm ergometry training has been found to improve motor conventional and reduce spasticity in stroke subjects. Purpose: The present study intended to examine whether repetitive arm ergometry training helps in reducing spasticity and improving motor performance. Method: A total 34 number of subjects were selected and randomly assigned to either of the two groups after meeting the inclusion and exclusion criteria. All participants underwent an initial baseline assessment of dependent variables – MAS, Fugl Meyer assessment –UE (shoulder, elbow). Both groups received conventional physiotherapy. Group 2 in addition, received arm ergometry training for a period of 4 weeks, 5 days/week. All participants received a follow up assessment after completion of 4 weeks. Results: Overall results of the study suggested that after 4 weeks of interventions improvement of motor performance in upper extremity was found in both experimental and conventional group as measured by Fugal Meyer Assessment -UE (FMA-UE shoulder/elbow motor score) and reduction in spasticity as measured by Modified Ashworth Scale(MAS). However, experimental group showed significantly more improvement than conventional group. Conclusion: Arm ergometry training with conventional therapy brings about more improvement in motor function than conventional physiotherapy alone.c
Keywords: Stroke, Arm Ergometry Training, MAS, FMA-UE.
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