Correlation Between Upper Extremity Range of Motion and Fugl Meyer Upper Extremity Scale in Stroke Patients

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Abstract

BACKGROUND:Stroke is a common cardiovascular disease. Severe headache and neck pain can occur in hemorrhagic or ischemic stroke. Restriction of normal functional movements occurs in stroke due to spasticity with development of abnormal posture of limbs. OBJECTIVE: To determine correlation between Range of motion (ROM) of shoulder, elbow and wrist joint in all degree of freedom and fugl Meyer upper extremity scale (FM-UE) in stroke patients.METHODS: It was a randomized control trial. Sample size was 41. Data collection was done from DHQ Hospital Jhelum. Conventional treatment was applied to control group and conventional treatment with neurodynamics was applied to experimental group, 10 rep/ set, 1set/ day, 3 days/week for 6 weeks. 0, 3rd and 6th week assessment was done through goniometry and fugl Meyer assessment scale (FM-UE). Correlation analysis was done through SPSS version 21.RESULTS: Spearmen correlation analysis was done through SPSS version 21. The result of study indicates that value of r was (0.883-0.885) for shoulder flexion, (0.835-0.862) for shoulder extension, (0. 887-891) for shoulder abduction, (0.817-0.835) for shoulder internal rotation, (0.827-0.861) for shoulder external rotation, (0.873-0.881) for elbow flexion, (0.303-0.318) for elbow extension, (0.826-0.858) for forearm supination, (0.837-0.873) for forearm pronation, (0.759-0.802) for wrist flexion, (0.731-0.794) for wrist extension, (0.675-0.727) for radial deviation, (0.643-0.694) for ulnar deviation and (0.881-0.901) for thumb abduction.CONCLUSION: This study concluded that there was strong correlation between range of motion (ROM) of shoulder, elbow and wrist joint in all degree of freedom and Fugl Meyer upper extremity scale (FM-UE) in stroke patients. This study also determined that there was moderate correlation between FM-UE scale and range of elbow extension.

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