Effect of Problem -Oriented Willed Movement Therapy in Improving Motor Abilities in Post Stroke Cognitive Deficits

Abstract

Stroke or cerebrovascular accident is defined as a rapidly developing clinical sign of a focal or global disturbance of cerebral function lasting for more than 24 hours or leading to death due to no other reason than the vascular origin. Stroke is the third leading killer in the world and India after heart disease and cancer. Among all the neurological diseases of adult life, cerebrovascular disease clearly ranks first in frequency and importance. It is a pretest and posttest experimental study design 30 Patients of age between 40 to 60 years with stroke involving middle cerebral artery were divided into two groups. Group A consists of 15 patients and received problem oriented willed movement therapy. Group B consist of 15 subjects and received neurodevelopmental  therapy. Treatment duration for both groups was 40-60 minutes with two sessions per day.

Motor ability was used as outcome measure and measured by Rivermead mobility index and Motor assessment scale. Pretest and posttest values were measured and analysed by Student‘t' test. The results showed that there was a significant difference between the effects of Problem oriented willed movement therapy and Neurodevelopmental therapy in improving lower extremity locomotor abilities in patients with post stroke cognitive deficits. The study concluded that Problem oriented willed movement therapy was effective than Neurodevelopmental therapy in improving lower extremity locomotor abilities of patients with post stroke cognitive deficits.