INTRODUCTION: Stroke rehabilitation is an organized endeavour to help patients to maximize all opportunities for returning to an active lifestyle. Early intervention in acute stroke rehabilitation plays a major role in restoration of function and reducing the degree of disability and dependence for ADL’s and ambulation. Neuro-rehabilitation is a method for relearning a previously learned task in a different way, either by compensatory strategies or by adaptively recruiting alternative pathway. Selection of appropriate and best neuro rehabilitation is critical.OBJECTIVE: To compare whether task oriented approach is better than propioceptive neuromuscular facilitation on functional ambulation of stroke patients.DESIGN: Single centre randomized control trial.SETTING: Occupational Therapy department, Swami Vivekananda National Institute of Rehabilitation Training and Research, Olatpur, Odisha, 754010PARTICIPANTS: All participants who fulfill the inclusion criteria randomly assigned to two groups. Following this a baseline assessment of Functional gait assessment scale was done at the beginning of the study.INTERVENTION: All participants continued to receive conventional occupational therapy throughout the entire duration of study. Participants received an additional specific intervention (one group task oriented approach and the second group PNF approach).Subjects of both the group were provided therapy sessions 45minutes per session 5 days a week for two months.OUTCOME MEASURE: Functional Gait Assessment ScaleRESULT: From the statistical result of this study, it is seen that there is no significance difference in FGA scale between two groups. This data suggests that TOA and PNF approaches are equally efficacious in treating functional ambulation in stroke patients and there is a significant improvement within the two experimental group.CONCLUSION: There has been considerable debate regarding the comparative effectiveness of various treatment approaches with stroke patients. This study is not able to identify any differences between the groups that received Task oriented approach and the group that received Propioceptive neuromuscular facilitation treatment .On the basis of the finding s of this study occupational therapist can consider using either approach in planning treatment for functional ambulation in stroke patients.
stroke, Functional ambulation, PNF approach, Task oriented approach, neurorehabilitation, maximal independence
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