Effectiveness of Motor Relearning Programme on Sit to Stand Performance Among Right and Left Hemiparesis Patients

Ashok Ravi, Brammatha A, Ramamoorthy Veyilmuthu
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Abstract

OBJECTIVE: To compare the effectiveness of Motor Relearning Program (MRP) on sit to stand performance among right and left hemi paresis patients. Study design: Quasi experimental study design with two groups pre-test and post test. Participants: A total of 16 male right and left hemi paretic patients in the age group of 45 to 65 years participated in the study. The participants recruited were diagnosed with middle cerebral artery lesion with duration less than 3 weeks and a score of 1 on the Motor Assessment Scale for sitting to standing up item. The patients who satisfied inclusion criteria were conveniently assigned into 2 groups. Group A- right hemiparesis and Group B- left hemi paresis. Interventions: Motor Relearning Programme for sitting to standing for duration of 2 weeks (40 minutes/session, 5session/week, total 10 sessions). Outcome Measures: Measurements were taken using Sitting to standing functional item of Motor Assessment Scale (MAS) following 2 weeks of the training program. Results: Statistical analysis was done using the ‘t’ test, which showed a significant improvement in Motor Assessment Scale (MAS) for sitting to standing up item for both groups. But GROUP-A (Right hemi paresis) showed a more significant improvement than GROUP – B(Left hemi paresis) in Motor Assessment Scale (MAS) for sitting to standing up item. Conclusions: The findings of this study suggest Motor Relearning Programme improves sit to stand performance. And there was a significant difference in sit to stand performance between right and left hemi paresis patients following 2 weeks of Motor Relearning Programme. Keywords: Motor Relearning Programme, Sit to stand, Motor Assessment Scale, Hemi paresis.
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运动再学习计划对左右偏瘫患者坐立能力的影响
目的:比较运动再学习计划(MRP)对左右半瘫患者坐立表现的影响。研究设计:准实验研究设计,分为前测和后测两组。对象:共16例男性左右半瘫患者,年龄45 ~ 65岁。被招募的参与者被诊断为大脑中动脉病变,持续时间小于3周,运动评估量表从坐到站项目得分为1分。将符合纳入标准的患者方便地分为两组。A组为右半瘫,B组为左半瘫。干预措施:运动再学习计划,从坐到站,持续2周(40分钟/次,5次/周,共10次)。结果测量:训练2周后,使用运动评定量表(MAS)的坐站功能项目进行测量。结果:采用t检验进行统计学分析,两组患者坐立运动评定量表(MAS)单项均有显著改善。但a组(右半脑轻瘫)在坐立运动评定量表(MAS)项上的改善明显优于B组(左半脑轻瘫)。结论:本研究结果提示运动再学习计划可改善坐立表现。在两周的运动再学习计划后左右半脑轻瘫患者的坐起立表现有显著差异。关键词:运动再学习计划,从坐到站,运动评定量表,半脑轻瘫。
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