Improvement of the functional recovery of the upper limb in hemiplegic patients by the use of the technique of induced stress therapy

Authors : Teddy BOFOSA, Eric KAM, Betty MİANGİNDULA, Constant NKİAMA, Tharcisse KAYEMBE

Pages : 292-299

Doi:10.18621/eurj.499045

View : 15 | Download : 16

Publication Date : 2020-07-04

Article Type : Research Paper

Abstract :Objectives: To investigate the effects of the induced stress therapy technique in functional recovery of the upper limb in hemiplegic patients. Methods: We conducted a longitudinal study that consisted in following the evolution of the functional recovery of the upper limbs of 60 hemiplegic subjects of the center for physical disabilities of Kinshasa subjected to a program of induced stress therapy for a period of six months from April 2018 to October 2018. The Fugl Meyer scale and Action Research Arm test allowed us to see the effects of this treatment. The parametric t test of student allowed us to compare the averages before and after the treatment. Results: After 6 months of the study, the results of our cases showed a very significant difference between the mean values of global motor skills scores at Action Research Arm between the beginning insert ignore into journalissuearticles values(51 ± 21%); and the end of treatment insert ignore into journalissuearticles values(64 ± 20%; p < 0.05);. The difference in mean values at the Fugl Meyer scale was also very significant, both at overall scores and under-scores insert ignore into journalissuearticles values( p < 0.05);. There is a very significant difference between older and younger patients compared to the mean values of their overall scores on the motor and independence scales insert ignore into journalissuearticles values( p < 0.05);. Conclusions: We found that induced stress therapy significantly improved the level of functional recovery and autonomy at the Action Research Arm and Fugl Meyer scales. In addition, this improvement was a little slower in the hand than in the other segments of the upper limb. 
Keywords : induced stress therapy, functional recovery, hemiplegic, upper limb