• E-ISSN 2583-6056
  • Follow us

International Journal of Physiotherapy Research and Clinical Practice

Article

International Journal of Physiotherapy Research and Clinical Practice

Year: 2023, Volume: 2, Issue: 3, Pages: 9-12

Original Article

Impact of Upper Extremity Training Under Partial Supervision on Functional Recovery in Stroke Patients

Abstract

Background: Stroke, a major cause of disability, often results in upper limb dysfunction, impaired daily activities, and reduced independence. Rehabilitation strategies, including home-based interventions, have shown promise for enhancing motor recovery during the subacute phase of stroke. This study aimed to evaluate the efficacy of home-based upper-extremity training on functional recovery in patients with subacute stroke. Methods: A quasi-experimental design was employed with 30 participants aged 40-70 years diagnosed with subacute stroke (30-150 days post-stroke). Participants underwent six weeks of home-based upper extremity training, focusing on functional, goal-directed exercises using minimal equipment. Pre- and post-intervention functional recovery were assessed using the Fugl-Meyer Assessment (FMA), Action Research Arm Test (ARAT), and Chedoke Arm and Hand Activity-9 (CAHAI-9). Results: Significant improvements were observed in the ARAT, FMA, and CAHAI-9 scores (mean increases: 3.3, 3.47, and 4.43, respectively). These results indicate substantial functional gains in upper limb mobility, strength, and daily activity performance after six weeks of home-based training. Conclusion: This study contributes to the growing evidence supporting home-based rehabilitation as an effective, cost-efficient alternative to traditional rehabilitation methods, particularly for subacute stroke patients with limited access to institutional care.

Keywords: Stroke Rehabilitation, Home-Based Training, Upper Extremity, Functional Recovery, Sub-Acute Stroke

References

  1. Dhakate D, Bhattad R. Study the Effectiveness of Bilateral Arm Training on Upper Extremity Motor Function and Activity Level in Patients with Sub-Acute Stroke. International Journal of Current Research and Review. 2020;12(20):31–37. Available from: https://dx.doi.org/10.31782/ijcrr.2020.122012
  2. Zaucha H, Thomas A. Utility of Chedoke arm hand activity inventory in the Indian population: mixed method research sequential explanatory. International Journal of Research in Medical Sciences. 2019;7(6):2273–2277. Available from: https://dx.doi.org/10.18203/2320-6012.ijrms20192511
  3. Miller EL, Murray L, Richards L, Zorowitz RD, Bakas T, Clark P, et al. Comprehensive Overview of Nursing and Interdisciplinary Rehabilitation Care of the Stroke Patient. Stroke. 2010;41(10):2402–2448. Available from: https://dx.doi.org/10.1161/str.0b013e3181e7512b
  4. Murakami K, Asayama K, Satoh M, Inoue R, Tsubota-Utsugi M, Hosaka M, et al. Risk Factors for Stroke among Young-Old and Old-Old Community-Dwelling Adults in Japan: The Ohasama Study. Journal of Atherosclerosis and Thrombosis. 2017;24(3):290–300. Available from: https://dx.doi.org/10.5551/jat.35766
  5. Parimal M, Misra R, Chakrabarti R. Introduction to Diabetes and Prevalence in India. Diabetes and Its Complications in India. 2021;p. 159–163. Available from: https://doi.org/10.1007/978-981-15-8002-4_6
  6. Sethy D, Sahoo S, Sahoo S, Sahu AK. Effectiveness of Task-Specific Training combined with Strength Training on Upper Limb Recovery, Activities and Participation after Stroke: A Systematic Literature Review. International Research Journal of Multidisciplinary Scope. 2024;05(03):1058–1074. Available from: https://dx.doi.org/10.47857/irjms.2024.v05i03.0896
  7. Demeco A, Foresti R, Frizziero A, Daracchi N, Renzi F, Rovellini M, et al. The Upper Limb Orthosis in the Rehabilitation of Stroke Patients: The Role of 3D Printing. Bioengineering. 2023;10(11):1256. Available from: https://dx.doi.org/10.3390/bioengineering10111256
  8. Hubbard IJ, Parsons MW, Neilson C, Carey LM. Task‐specific training: evidence for and translation to clinical practice. Occupational Therapy International. 2009;16(3-4):175–189. Available from: https://dx.doi.org/10.1002/oti.275
  9. Appelros P, Stegmayr B, Terént A. A review on sex differences in stroke treatment and outcome. Acta Neurologica Scandinavica. 2009;121(6):359–369. Available from: https://dx.doi.org/10.1111/j.1600-0404.2009.01258.x
  10. Kim JS, Lee KB, Roh H, Ahn MY, Hwang HW. Gender Differences in the Functional Recovery after Acute Stroke. Journal of Clinical Neurology. 2010;6(4):183–188. Available from: https://dx.doi.org/10.3988/jcn.2010.6.4.183
  11. Öneş K, Yalçinkaya EY, Toklu BÇ, Çağlar N. Effects of age, gender, and cognitive, functional and motor status on functional outcomes of stroke rehabilitation. NeuroRehabilitation: An International, Interdisciplinary Journal. 2009;25(4):241–249. Available from: https://dx.doi.org/10.3233/nre-2009-0521
  12. Lee KB, Kim JS, Hong BY, Lim SH. Clinical recovery from stroke lesions and related outcomes. Journal of Clinical Neuroscience. 2017;37:79–82. Available from: https://dx.doi.org/10.1016/j.jocn.2016.11.008
  13. Yoo J, Hong B, Jo L, Kim JS, Park J, Shin B, et al. Effects of Age on Long-Term Functional Recovery in Patients with Stroke. Medicina. 2020;56(9):451. Available from: https://dx.doi.org/10.3390/medicina56090451
  14. Koç A. Exercise in patients with subacute stroke: A randomized, controlled pilot study of home-based exercise in subacute stroke. Work-a Journal of Prevention Assessment & Rehabilitation. 2015;52(3):541–547. Available from: https://doi.org/10.3233/wor-152156
  15. Stangenberg-Gliss K, Kopkow C, Borgetto B. Synchronous Home-based Telerehabilitation of the Upper Extremity following Stroke – A Pyramid Review. Healthcare . 2024;13(1):90. Available from: https://doi.org/10.3390/healthcare13010090
  16. Westlake K, Akinlosotu R, Udo J, Shipper AG, Waller SM, Whitall J. Some home-based self-managed rehabilitation interventions can improve arm activity after stroke: A systematic review and narrative synthesis. Frontiers in Neurology. 2023;14:1035256. Available from: https://dx.doi.org/10.3389/fneur.2023.1035256

Copyright

@ 2023 Published by Krupanidhi College of Physiotherapy. This is an open-access article under the CC BY license (https://creativecommons.org/licenses/by/4.0/)

DON'T MISS OUT!

Subscribe now for latest articles and news.