Effects of arm ability training versus task-oriented training on dexterity, functional ability, and quality of life in subacute stroke survivors: a single-blinded randomized controlled trial
Main Article Content
Abstract
BACKGROUND
Stroke is a worldwide health issue, with the loss of upper limb function along with diminished cognitive function. Post stroke, more than 2/3 of the patients have impairment in the motor function of the upper limb. As a result, there will be difficulty in performing activities of daily living. Hence, this study focused on comparing the effects of arm ability training (AAT) and task oriented training (TOT) on improving dexterity, functional ability, and quality of life in subacute stroke survivors.
METHODS
This was a randomized clinical study involving 210 sub-acute stroke patients. They were randomized into group A (n=105) receiving arm-ability training, and group B (n=105) receiving task-orientated training. Both groups received treatment 5 days a week, for 3 weeks. The outcome measures included the modified standardized nine-hole peg test (mS-NHPT). Graded Wolf Motor Function Test (gWMFT) and 12-item Stroke-Specific Quality of Life Scale Questionnaire (SS-QoL-12). The independent t - test and the Chi Square test of independence for gender variance were used for statistical analysis. A p-value <0.05 was considered statistically significant.
RESULTS
Baseline assessment observed no statistically significant difference between groups for AAT and TOT (p>0.05). AAT exhibited significant improvements over TOT in terms of mS-NHPT, gWMFT (FAS, PT), and SS-QOL-12 (p<0.0001) among sub acute stroke survivors.
CONCLUSION
This study provides support for the superior efficacy of AAT than TOT in dexterity, functional ability and quality of life among subacute stroke survivors. These beneficial effects were observed after 3 weeks of training.
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