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A comparative study on quantity of caregiver support for upper limb functional recovery in post stroke
Agrawal K, Suchetha PS, Mallikarjunaiah HS
International Journal of Physiotherapy and Research 2013 Jul-Aug;1(3):77-82
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Stroke is the major cause of disability more than 70% of individuals experience upper limb paresis post stroke. Use of the upper limb is vital to the completion of many activities of daily living and health-related quality of life. Increased time spent in therapy improves outcome of the upper limb in post stroke. OBJECTIVES: To find optimal quantity of caregiver support in stroke rehabilitation to improve upper limb function. MATERIALS AND METHODS: A comparative study with pre and post design carried out at the Rehabilitation Unit of ESI, KCG Hospital and Padmashree Clinic, Bangalore. 30 subjects including both gender with sub-acute stroke were randomly divided into three groups. INTERVENTION: Subjects of experimental group A, were treated with GRASP protocol by caregiver for 90 minutes and conventional physiotherapy, subjects of experimental group B were treated with GRASP protocol by caregiver for 60 minutes and conventional physiotherapy and subjects in control group C were treated with conventional physiotherapy only. RESULTS: In all the three groups, statistically it was found that the pre-post assessment score using descriptive statistical analysis were significant (p < 0.001) with both FMUE and CAHAI. Group A showed more significant difference compared to other two groups. CONCLUSION: Thus, 90 minutes can be an optimum duration of caregiver support for upper limb functional recovery in stroke.

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