Comparison of Two Treatment Methods on Hand Dexterity of Post Hemiplegia Stroke: Movement Therapy and Electrotherapy

Document Type : Original article

Authors

1 Neurologist, Neurology Department, Shahid Beheshti University of Medical Science, Tehran, Iran

2 MSc in Occupational Therapy, Occupational Therapy Unit, Department of Physical Medicine and Rehabilitation, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran Tehran, Iran

3 BSc in Occupational Therapy and Operating Room Technician, Shahid Madani Hospital, Karaj, Iran

4 BSc in Physiotherapy, Shahid Madani Hospital, Karaj, Iran

5 MSc in Occupational Therapy, Occupational Therapy Department, School of Rehabilitation, Shahid Beheshti University of Medical Science, Tehran, Iran

6 MSc in Biostatistics, Basic Sciences Department, School of Rehabilitation, Shahid Beheshti University of Medical Science, Tehran, Iran

7 PhD Student of Exceptional Child Psychology, Occupational Therapy Department, School of Rehabilitation, Shahid Beheshti University of Medical Science, Tehran, Iran

Abstract

Background and Aim: Hemiplegia after stroke is the most common cause of dexterity disorder in adults, which is associated with impairment in daily life activities. The aim of the present study was comparative assessment of the effects of movement therapy and electrotherapy on dexterity.
Materials and Methods: In the present clinical trial with before-after design, 16 patients with post-stroke hemiplegia received 36 sessions of treatment. Hand gross dexterity was measured using Minnesota instrument prior to, and 18th and 36th sessions after the intervention. Shapiro Wilk test, paired t-test, and Pierson correlation were used to analyze the data.
Results: The significant increase of hand gross dexterity was noticed between before and 18th, 18th and 36th, and also before and 36th sessions after intervention in movement therapy group (p<0.0001), but in electrotherapy group only the means between before and 18th (p<0.002) and 18th and 36th sessions (p<0.001) were significant.
Conclusion: The present study showed that movement therapy is effective in increasing hand dexterity all the time. But the continuation of electrotherapy has reverse effects on it.

Keywords

Main Subjects

References

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The Scientific Journal of Rehabilitation Medicine
Volume 6, Issue 4
January and February 2018
Pages 99-105

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History

  • Receive Date: 15 October 2016
  • Revise Date: 11 January 2017
  • Accept Date: 06 June 2017
  • First Publish Date: 22 December 2017

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