Combined Effect of Constraint Induced Movement Therapy and Neural Mobilization Technique on Upper Extremity Function in Spastic Hemiplegic Patient – A Single Case Study

Abstract

Purpose: A single case study was performed carried to understand the benefit of constraint movement therapy and neural mobilization technique and neural mobilization technique on upper extremity function in spastic hemiplegic patient.

Design/Methodology/Approach: Numerous advanced researches have been done throughout the world in various study designs including systematic reviews and randomized control trials to analyse the significance of constraint induced movement therapy or neural mobilization technique on upper extremity function spastic hemiplegic patients. But there were very limited research publications on the combined effect of both in the improvement of upper extremity function. In this single case study combined intervention of constrained induced movement therapy and neural mobilization therapy was given to the patient to measure the effect in the form of functional arm reach distance of affected upper extremity. Data was recorded, kept for analysis and reported. The respondent of this single case study was patient encountered with left side hemiplegia with spastic upper extremity. 

Finding/Result: This case study shown significant improvement in the outcome of modified ashworth scale grades and upper extremity functional arm reach distance in spastic hemiplegic patient after intervention of combined movement of constrained induced movement therapy with neural mobilization for 24 weeks.

Originality/Value: Constrained Induced Movement Therapy for improving hand functions in stroke treatment.

Paper Type: Case Study Research