Ab. No. 87 Comparative Efficacy of Modified Constraint-Induced Movement Therapy (M-CIMT) Technique With or Without Restraint Device on Gait and Balance of Hemiplegic Patients With Stroke: A Pilot Study

Introduction:The purpose was to compare the effect of Modified Constraint-induced movement therapy (m-CIMT) with or without the restraint device on static balance, dynamic balance and gait of patients with hemiplegia.Using m-CIMT as a rehabilitative approach in Physiotherapy practice may improve the weight-bearing asymmetries, static balance, dynamic balance and gait. Patients with hemiplegia (n=16) of both genders aged 40-65 years with MMSE score≥ 24, Brunnstrom recovery stages≥ III were randomly divided into two groups.Methodology:Group 1(n=8) underwent m-CIMT therapy with a weight cuff on the unaffected ankle during exercises, while Group 2(n=8) performed the same exercises without any restraint device keeping their non-paretic hip and knee extended and feet flat. Gait quality and balance were assessed using the Dynamic Gait Index (DGI) and Berg Balance Scale (BBS) respectively. Doses were 5 days per week for 2 weeks.Paired T-test was used for within groups and independent sample T-test was used to compare between groups. The probability of error was accepted at P