IJHSR

International Journal of Health Sciences and Research

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Original Research Article

Year: 2022 | Month: October | Volume: 12 | Issue: 10 | Pages: 56-62

DOI: https://doi.org/10.52403/ijhsr.20221008

Combined Effect of Dynamic Wrist Hand Orthosis and Therapy on Hand Grip strength in Subjects with Acute Hemiplegic Stroke

Subhasmita Sahoo1, Priyanka Behera2

1Lecturer (P&O), Department of Prosthetics and Orthotics, Schieffelin institute of health research and leprosy Centre, Vellore, Tamilnadu
2Ex. Lecturer (P&O) Department of Prosthetics and Orthotics, SVNIRTAR, Cuttack, Odisha

Corresponding Author: Subhasmita sahoo

ABSTRACT

Back ground: Stroke is a sudden loss of neurological function, with motor impairment, which can be regarded as a loss or limitation of function in muscle control or a limitation of hand movement through, insufficient muscle strength and inadequate muscle tone. The affected hand motion can result in a diminished ability to perform daily functional activities.
Objective: The study was evaluated the effect of dynamic wrist hand orthosis in acute hemiplegic stroke patient, which will increase the hand grip strength and over all hand function in affected hand.
Methods:30 hemiplegic stroke patients were participated in the study according to inclusion criteria. The subjects were divided into two groups; Group1 Dynamic wrist hand orthosis with therapeutic intervention and Group 2: only therapeutic intervention was given. In both group base line data and pre-test data was collected. Grip strength of affected hand was measured by hand held Camry dynamometer and hand fine motor skill test was conducted by box and block test. After 6 week the post test data was collected.
Results: There was a significant difference of grip strength and hand fine motor skill (performed by box and block test) was found in group 1 patients when compared with the only therapeutic group 2.
Conclusion: The dynamic wrist hand orthosis is an effective prescription in   increasing hand grip strength and fine motor skill for that the acute hemiplegic stroke patients and they can easily perform daily activities.

Key words: Acute hemiplegic stroke, Dynamic wrist hand orthosis, Grip strength, Camry hand held dynamometer, Box and block test.

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