Impact of Modified Game Based Activities in Motor Control and Functional Outcome of Stroke Patients

International Journal of Research and Innovation in Social Science (IJRISS) | Volume IV, Issue VIII, August 2020 | ISSN 2454–6186

Impact of Modified Game Based Activities in Motor Control and Functional Outcome of Stroke Patients

Nighat Tahir^1*, Sana Nauman², Shankar Ahuja³, Dr Madiha Zia⁴

^1,2,3.4 Dow University of Health Sciences, Karachi, Pakisthan
*Corresponding Author

Abstract:
Background: Stroke is one of the most common causes of physical disability, and early, intensive, and repetitive rehabilitation exercises are crucial to the recovery of stroke survivors. Unfortunately, research shows that only one third of stroke patients actually perform recommended exercises at home, because of the repetitive and mundane nature of conventional rehabilitation exercises. Thus, to motivate stroke survivors to engage in monotonous rehabilitation is a significant issue in the therapy process. Game-based rehabilitation systems have the potential to encourage patients continuing rehabilitation exercises
Objective: The purpose of this study was to evaluate/explore the effect /impact of modified game based activity that improve hand functioning
Method: This study was conducted at Institute of physical medicine and rehabilitation DOW University of health sciences. 15 patients those included were diagnosed as stroke through randomized control trial; patients having muscle grade 3, aged between 20-50, acute cases were included .All patients received conventional therapy and additional game based activities 4 days a week. Sports based therapy included Basket Ball, Balloon Bounce, Volley Ball, Cricket, and Football .These 5 activities covered with warm up and cool down exercises. Pre and post assessment is done by Fugal Mayer and Chadock scale.
Result: There is significant difference in baseline pre and post assessment of fugal Mayer and CAHAI scoring Wilcoxon signed rank test was performed. Value of p<0.05 In fugal Mayer A Wilcoxon Signed-Ranks Test indicated that posttest score was significantly higher than pretest Z = -3.413, p < .001 total measure of upper extremity and lower extremity as well as shoulder external rotation ,wrist ability adduction, opposition of thumb ,and grip if individually measured it also showed significant value of p<.001
Conclusion: Modified sports can turn the rehabilitation exercises more appealing and provide innate motivation to individual. The participants experienced increased quality of life, a greater propensity to use their affected arm and enhanced task performance

Keywords: Modified sports, stroke rehab, sensor motor, Chadock scale, FMA-UE/LE

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