The Effect of Task-Oriented Training and Progressive Resisted Exercise on Upper Limb Function and Quality of Life in Chronic Stroke Patients
Authors
-
College of Physiotherapy, Dayananda Sagar University, Kumaraswamy Layout, Bangalore - 560 078, Karnataka ,IN
Radhika Chintamani
DOI:
https://doi.org/10.18311/jeoh/2024/34288Keywords:
Quality of Life, Stroke, Task-Oriented Training, Upper Limb FunctionAbstract
Introduction: Stroke is defined as a neurological deficit subjected to acute focal injury of the Central Nervous System (CNS) due to vascular cause. The cause may be several embracing cerebral infarctions. Stroke is the third leading cause of death and the most common cause of disability among adults. Many studies have shown that motor impairment is a common factor leading to disability in stroke survivors. Improving the deficient motor power and strategies will reduce motor disability (Task-oriented training is given mainly for improving Functional performance). Need for the Study: Studies have shown a significant effect on motor function post-stroke with several techniques like conventional exercise, Proprioceptive Neuromuscular Facilitation (PNF), and Brunnstorm techniques. The effect of the treatment was significant because the weak muscles were strengthened, and the tight muscles were relaxed. However, there is a scarcity in the literature related to the effect of task-oriented training on motor performance in subjects with chronic stroke. Hence this study is undertaken. Methods: The study was carried out in the OPD of the College of Physiotherapy- Dayananda Sagar University-Bangalore on a sample size of 40 subjects for 6 months. It was a randomised clinical trial where subjects were split into two groups with task-oriented training and Progressive Resisted Exercises (PRE). The therapy was 30 minutes/session for 5 days /week for 4 weeks. Results: Task-oriented training showed significant changes within the group from pre- and post-trial and between the group effects, thus demonstrating it to be more significant in enhancing motor performance compared to mere strengthening exercises. Conclusion: The current study demonstrates that task oriented training compared to Progressive Resisted Exercises (PRE) works efficiently in improving upper limb functions and quality of life. The improvement in motor performance varied but the Chedoke Arm and Hand Activity Inventory and Stroke Impairment Scale showed quite significant improvement post-rehabilitation with task-oriented training compared to Progressive Resisted Exercise.
Downloads
Metrics
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Radhika Chintamani
This work is licensed under a Creative Commons Attribution 4.0 International License.
Accepted 2023-11-24
Published 2024-03-04
References
O’Sullivan SB, Schmitz TJ. Physical rehabilitation. 5th ed; 2006. P. 592-661.
Whond C, MH. WHO STEPS stroke manual: the WHO STEP wise approach to stroke surveillance [Internet]. World Health Organization; 2005. Available from: https:// apps.who.int/iris/handle/10665/43420
Recommendations on stroke prevention, diagnosis, and therapy. Report of the WHO Task Force on Stroke and other Cerebrovascular Disorders. Stroke. 1989; 20(10):1407–3. https://doi.org/10.1161/01.STR.20.10.1407 PMid:2799873 DOI: https://doi.org/10.1161/01.STR.20.10.1407
French BR, Boddepalli RS, Govindarajan R. Acute ischemic stroke: Current status and future directions. Mo Med. 2016; 113(6):480–6.
Rymer MM. Hemorrhagic stroke: Intracerebral hemorrhage. Mo Med. 2011; 108(1):50– 4.
WHO | Preventing chronic diseases: A vital investment [Internet]. WHO. [cited 2021 Feb 22]. Available from: http://www.who.int/chp/chronic_disease_report/en/
Raghavan P. Upper limb motor impairment after stroke. Phys Med Rehabil Clin N Am. 2015; 26(4):599–610. https://doi.org/10.1016/j.pmr.2015.06.008 PMid:26522900 PMCid: PMC4844548 DOI: https://doi.org/10.1016/j.pmr.2015.06.008
Chowan NC, Singh P. The comparison of the effect of task oriented training and progressive resistance training in stroke subjects on upper limb function and quality of life in stroke subjects- A randomized clinical trial. National Journal of Integrated Research in Medicine. 2019; 10(5).
Opara JA, Jaracz K. Quality of life of post-stroke patients and their caregivers. J Med Life. 2010; 3(3):216–20.
Harris JE, Eng JJ. Strength training improves upper-limb function in individuals with stroke: A meta-analysis. Stroke. 2010;41(1):136–40. https://doi.org/10.1161/ STROKEAHA.109.567438 PMid:19940277 DOI: https://doi.org/10.1161/STROKEAHA.109.567438
Pollock A, Farmer SE, Brady MC, Langhorne P, Mead GE, Mehrholz J, et al. Interventions for improving upper limb function after stroke. Cochrane Database of Systematic Reviews [Internet]. 2014; (11). https://doi. org/10.1002/14651858.CD010820.pub2 DOI: https://doi.org/10.1002/14651858.CD010820.pub2
de Sousa DG, Harvey LA, Dorsch S, Glinsky JV. Interventions involving repetitive practice improve strength after stroke: A systematic review. J Physiother. 2018; 64(4):210–21. https://doi.org/10.1016/j.jphys.2018.08.004 PMid:30245180 DOI: https://doi.org/10.1016/j.jphys.2018.08.004
Tricia M. The Effectiveness of Progressive resisted exercises in improving function in the upper limb in subacute stroke. RGUHS; 2013.
El-Nashar H, ElWishy A, Helmy H, El-Rwainy R. Do core stability exercises improve upper limb function in chronic stroke patients? The Egyptian Journal of Neurology, Psychiatry and Neurosurgery [Internet]. 2019; 55(1):38. https://doi.org/10.1186/s41983- 019-0087-6 DOI: https://doi.org/10.1186/s41983-019-0087-6
Donaldson C, Tallis R, Miller S, Sunderland A, Lemon R, Pomeroy V. Effects of conventional physical therapy and functional strength training on upper limb motor recovery after stroke: a randomized Phase II study. Neurorehabil Neural Repair [Internet]. 2009; 23(4):389–97. https://doi. org/10.1177/1545968308326635 PMid:19109444
Santisteban L, Térémetz M, Bleton JP, Baron JC, Maier MA, Lindberg PG. Upper limb outcome measures used in stroke rehabilitation studies: a systematic literature review. PloS one. 2016; 11(5):e0154792. https://doi.org/10.1371/journal. pone.0154792 PMid:27152853 PMCid: PMC4859525 DOI: https://doi.org/10.1371/journal.pone.0154792
Wang Q, Zhao J-L, Zhu Q-X, Li J, Meng P-P. Comparison of conventional therapy, intensive therapy, and modified constraint-induced movement therapy to improve upper extremity function after stroke. J Rehabil Med. 2011; 43(7):619–25. https://doi.org/10.2340/16501977-0819 PMid:21603848 DOI: https://doi.org/10.2340/16501977-0819
Donaldson C, Tallis R, Miller S, Sunderland A, Lemon R, Pomeroy V. Effects of conventional physical therapy and functional strength training on upper limb motor recovery after stroke: A randomized Phase II study. Neurorehabilitation and neural repair. 2009; 23(4):389- 97. https://doi.org/10.1177/1545968308326635 PMid: 19109444 DOI: https://doi.org/10.1177/1545968308326635
Timmermans AAA, Spooren AIF, Kingma H, Seelen HAM. Influence of task-oriented training content on skilled arm-hand performance in stroke: A systematic review. Neurorehabil Neural Repair. 2010; 24(9):858–70. https:// doi.org/10.1177/1545968310368963 PMid:20921325 DOI: https://doi.org/10.1177/1545968310368963
Thant AA, Wanpen S, Nualnetr N, Puntumetakul R, Chatchawan U, Hla KM, et al. Effects of task-oriented training on upper extremity functional performance in patients with sub-acute stroke: A randomized controlled trial. J Phys Ther Sci. 2019; 31(1):82–7. https:// doi.org/10.1589/jpts.31.82 PMid:30774211 PMCid: PMC6348189
Ahamad AA, Dhasaradharaman K, Radhakrishnan V. Comparison between the effects of task-oriented training program and balance training on improving balance in stroke patients. International Journal of Health Sciences and Research [Internet]. 2019; 9(10):238–41.
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 [Internet]. 2019; 7(6):2273–7. https://doi. org/10.18203/2320-6012.ijrms20192511 DOI: https://doi.org/10.18203/2320-6012.ijrms20192511
Williams Linda S., Weinberger Morris, Harris Lisa E., Clark Daniel O., Biller José. Development of a stroke-specific quality of life scale. Stroke [Internet]. 1999; 30(7):1362–9. https://doi.org/10.1161/01.STR.30.7.1362 PMid:10390308 DOI: https://doi.org/10.1161/01.STR.30.7.1362
Johansson GM, Häger CK. A modified standardized ninehole peg test for valid and reliable kinematic assessment of dexterity post-stroke. Journal of Neuroengineering and Rehabilitation. 2019; 16:1-1. https://doi.org/10.1186/ s12984-019-0479-y PMid:30642350 PMCid: PMC6332630 DOI: https://doi.org/10.1186/s12984-019-0479-y
Ribeiro AS, do Nascimento MA, Mayhew JL, Ritti-Dias RM, Avelar A, Okano AH, et al. Reliability of 1RM test in detrained men with previous resistance training experience. IES [Internet]. 2014; 22(2):137–43. https://doi.org/10.3233/ IES-130530 DOI: https://doi.org/10.3233/IES-130530
Harvey RL. Improving poststroke recovery: Neuroplasticity and task-oriented training. Curr Treat Options Cardiovasc Med. 2009; 11(3):251–9. https://doi.org/10.1007/s11936- 009-0026-4 PMid:19433020 DOI: https://doi.org/10.1007/s11936-009-0026-4
Ada L, Dorsch S, Canning CG. Strengthening interventions increase strength and improve activity after stroke: A systematic review. Aust J Physiother. 2006; 52(4):241–8. https://doi.org/10.1016/S0004-9514(06)70003-4 PMid: 17132118 DOI: https://doi.org/10.1016/S0004-9514(06)70003-4
Thant AA, Wanpen S, Nualnetr N, Puntumetakul R, Chatchawan U, Hla KM, Khin MT. Effects of task-oriented training on upper extremity functional performance in patients with sub-acute stroke: a randomized controlled trial. J Phys Ther Sci. 2019; 31(1):82-7. https://doi. org/10.1589/jpts.31.82. Epub 2019 Jan 29. PMID: 30774211; PMCID: PMC6348189. DOI: https://doi.org/10.1589/jpts.31.82
