Graded Repetitive Arm Supplementary Program Versus Task Based Training on Upper Limb Function in Stroke Patients

This study will be Randomized Clinical Trial. A total of 38 stroke patients will be recruited by using non-probability convenience sampling Technique. Patients will be Randomized and allocated into two interventional groups based on the inclusion and exclusion criteria. Patients in Group A will receive Graded repetitive arm supplementary program and Patients in Group B will receive Task based training. All participants will receive the treatment for 40 minutes per session, 5 days per week for 5 weeks. For the evaluation of all participant scales like be Chedoke Arm and Hand Activity Inventory for clinical relevance, Fugl Mayer assessment scale for performance assessment, Action Reach Arm Test for coordination and dexterity and Motor Activity Log for functional assessment of Upper limb in stroke patients. D

Inclusion criteria

• Patients with Sub acute stage of stroke.
• Patients with Ischemic and Haemorrhagic stroke.
• Patients with Cognition level on Mini Mental State Examination must be > 24
• Patients with mild pain in upper extremity according to Numeric Pain Rating Scale
• Patients with Grade 2 active movements in affected extremity Tone of upper limb at Modified Ashworth Scale Grade 1+.

Exclusion criteria

• Other neurological disorders e.g. brain tumor, encephalitis, meningitis, brain abscess.
• Use of antipsychotics
• Use of drugs for spasticity.
• Patients with vestibular impairment.