Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 5 Issue 5

Evidence Based Physiotherapeutic Concepts and Approaches on Improving Functional Hand and Arm Activities for Stroke Patient

Shubham Sharma1, Neha Gupta2, Shubhi Kulshrestha3* and Sukriti Raj4

1Assistant Professor, Santosh Medical College, Ghaziabad, Uttar Pradesh, India
2Assistant Professor - lll, Amity Institute of Physiotherapy, Amity University, Noida, Uttar Pradesh, India
3Senior Physiotherapist, AID PLUS Physiotherapy and Rehabilitation Clinic, Delhi, India
4Physiotherapy Faculty, Impact Paramedical and Health Institute, New Delhi, India

*Corresponding Author: Shubhi Kulshrestha, Senior Physiotherapist, AID PLUS Physiotherapy and Rehabilitation Clinic, Delhi, India.

Received: January 27, 2022; Published: April 11, 2022


Background: Stroke is a neurological disease. Half of the stroke patients are left with disability. Most of the stroke patients are able to walk independently but more than 50% of the patient will not recover their hand functions. Upper extremity functional recovery is slower than lower limb functional recovery.

Objective: There are several protocols which we are used to rehabilitate the upper limb after stroke, through this study we can find out the latest technique and the most effective technique at the present time.

Search Strategy: Various articles have been studied to create this literature review. The database was probed from various journal sites such as PubMed, Science Direct, Research Gate, Cochrane and Google Scholar. The articles were identified with keywords such upper limb rehabilitation for stroke, PNF for upper limb stroke rehabilitation and Bobath therapy.

Results: Total 10 studies were identified with different protocols to improve functional hand and arm activities for stroke patient. There are many concepts and approaches which are evolved during time and produce great output in the rehabilitation of upper limb. Concept used in postural control and integration of the task performance of the sensory information for the motor control and the perception will improve at the cortex level.

Conclusions: Through all the studies, every concept and approach gives significant improvement on each other. The latest technologies like electrical stimulator are more focused from last 5 years while CIMT shows better results in comparison with other studies for the rehabilitation of the upper limb recovery.

Keywords: Stroke; Neurological Disease; Limb


  1. Alya Abba., et al. “Comparative effect of constraint induced movement therapy and proprioceptive neuromuscular facilitation on Upper limb function of Chronic stroke survivors”. Physiotherapy Quarterly1 (2020): 1-5.
  2. , et al. “Bobath concept versus constraint induced movement therapy to improve Arm Functional recovery in stroke patients”. Clinical Rehabilitation 26.8 (2012): 705-715.
  3. , et al. “Effectiveness of Mirror Therapy on Upper Limb Motor Function among Hemiplegic patients”. Bangladesh Journal of Medical Science 19.2 (2020).
  4. E Lang., et al. “2009 studied the thumb and finger extension recovery in relation to grip performance”.
  5. , et al. “The Effect of Bilateral Upper Limb Task Training on Upper Limb Function in Acute Stroke”. Indian Journal of Physiotherapy and Occupational Therapy (2019).
  6. , et al. “The effect of Task-Oriented Training combined with bobath program and the Task-Oriented Training alone on upper limb function in stroke patients”. Journal of Function and Disability 2 (2019): 11.
  7. JH Lee., et al. “Upper Extremity Rehabilitation for stroke patient”. International Journal of Elderly Welfare Promotion (2019).
  8. , et al. “Bilateral Upper Limb Training with Functional Electrical Stimulation in patient with chronic stroke”. Neurorehibilitation and Neural Repair 23.4 (2009): 357-365.
  9. , et al. “Effect of Mirror Therapy in Stroke patients with complex regional pain syndrome Type 1”. American congress of Rehabilitation Medicine 97.4 (2016): 575-581.
  10. Sarah R., et al. “Aerobic exercise and consecutive Task Specific Training (AExaCTT) for Upper Limb recovery after stroke”. Wiley Publication (2019).
  11. , et al. “The Effect of Bobath Therapy programme on upper limb and hand function in chronic stroke individuals with moderate to severe deficits”. International Journal of Therapy and Rehabilitation (2019).


Citation: Shubhi Kulshrestha., et al. “Evidence Based Physiotherapeutic Concepts and Approaches on Improving Functional Hand and Arm Activities for Stroke Patient".Acta Scientific Orthopaedics 5.5 (2022): 27-32.


Copyright: © 2022 Shubhi Kulshrestha., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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