Effect of Task Oriented Training with Conventional Therapy and Conventional Therapy Alone in Hemiparesis: A Comparative Study

Abstract

Background: Independency for basic self handling is the primary want of every human. Impaired upper extremityfunctional movements due to stroke followed by hemiparesis leads to poor participation in daily living activities.Objective: To determine and compare the effectiveness of Task Oriented Training (TOT) with ConventionalExercise Program (CEP) and Conventional Exercise Program alone in hemiparetic post stroke patients forimproving functional performance.Method: 24 subjects with post stroke hemiparesis were assigned into two groups (12 in each group). The outcomemeasure was Fugl- Meyer assessment scale (FMA) and Wolf motor function assessment scale (WMFA). GroupA subjects were treated with conventional therapy only while group B subjects were treated with Task Orientedtraining. The intervention was provided to both the groups for 5 times a week for a total duration of 8 weeks.Results: The results demonstrated significant improvement in functional ability for subjects of group B incomparison to group A (p<0.05) whereas sensorimotor function doesn’t significantly improved with Combinationtreatment (CEP+ TOT).Conclusion: The results shows that CEP along with TOT are effective in decreasing dependency in self careactivities by increasing functional ability of patients. Therefore, Task oriented training with conventional exerciseprogram can be practiced in physiotherapy for management of hemiparesis.