Effectiveness of Instrument Assisted Soft Tissue Mobilization Using M2t Blade on Upper Limb Spasticity and Function in Post Stroke Patients: A Pre-Post Experimental Study
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 7
Abstract
Background: The annual incidence of stroke is 124 per 100,000 population whereas the prevalence rate is 136 per 100,000 population in urban area and 165 per 100,000 in rural area. Unilateral weakness or spasticity are the most commonly observed symptoms of stroke leading to a disabled life. Spasticity occurs in 20-30% of all the stroke victims and is more commonly seen in upper extremity as compared to lower extremity. Conventional therapy for spasticity although effective, is physically demanding for physical therapists. Instrument Assisted Soft Tissue Mobilization (IASTM) is a form of mechano-therapy used to treat a variety of musculoskeletal disorders. Myofascial Mobilization Tool (M2T) blade is a recently developed IASTM technique. Although studies have been done on IASTM for spasticity, there is no literature for the same using M2T blade. Hence, this study was undertaken. Objective: To study the effect of IASTM using on Upper Limb spasticity and function in post stroke patients Methodology: The ethical clearance was obtained from Institutional Ethical Committee. 43 subjects were screened and 31 were recruited as per inclusion and exclusion criteria. A written informed consent was obtained from all the subjects. These subjects were treated with conventional therapy and M2T blade. Duration of treatment given was 40 minutes per session for 2 weeks (3 sessions per week). Pre and Post assessment of upper limb function using Fugl-Meyer scale for upper extremity (FMA-UE) and spasticity using the Modified Tardieu Scale (MTS) was done, followed by statistical analysis. Results: Dependent t test was used to analyze the level of significance in MTS and motor function and Joint motion components of FMA-UE. Wilcoxon matched pair test was done to analyze Joint pain component of FMA-UE. Significant differences were noted in upper limb spasticity in all the muscle groups (p<0.05). Significant improvement was also observed in upper limb function in all three domains of FMA-UE which were motor function, joint motion and joint pain respectively (p=0.0001, p=0.0001 and p=0.04) Conclusion: IASTM using M2T blade combined with Conventional therapy is an effective intervention for improving upper limb spasticity and function in Post-stroke patients.
Authors and Affiliations
Shruti Deshpande
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