Abstract
BACKGROUND: To compare the CIMT versus Mirror therapy has proven effective in increasing functional use of affected hand in patients with subacute and chronic stroke. OBJECTIVE: To evaluate the effectiveness of the constraint induced movement therapy (CIMT) and combined mirror therapy for patient’s rehabilitation of the patients with subacute and chronic stroke patients. METHODS: Twenty patients with subacute and chronic stroke were enrolled and divided into two groups CIMT group, CIMT with Mirror therapy group. CIMT group 6 hours a day for 4 days per week for 4 weeks ,and CIMT with Mirror therapy group 30 minutes of mirror with CIMT for 4 days per week for 4 weeks . The fugl-meyer motor function assessment (FMS) and Brunnstrom Voluntary control grading were evaluated 4weeks after the treatment. RESULTS: The score of the Brunnstrom Voluntary control grading p value (P value 0.0001) and Fugl-meyer scale P value (0.0001). CONCLUSION: In our group of subacute and chronic stroke patients, hand functioning improved both groups, mirror therapy combined with CIMT showed more improvement than the CIMT after 4 weeks of treatment.
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