Standard reference norms for a randomized controlled trial on the effect of Brunnstrom's Hand Rehabilitation and Functional Electrical Stimulation on hand function in patients with stroke
Twenty five participants with chronic stroke age group between 40-70 years both male and female were randomly divided into control and experimental group. Brunnstrom hand rehabilitation and functional electrical stimulation with conventional physiotherapy (experimental group) and only conventional physiotherapy (control group) in this randomized controlled trial. Primary outcome measure was hand function measured by Fugl Meyer Assessment scale- upper extremity (FMA-UE). Modified Ashworth scale (MAS), Jabsen Taylor Hand Function Test (JTHF) and Handheld Dynamometer (HHD) were used as secondary outcome measures to measure spasticity, fine motor hand function and grip strength. Participants were evaluated at baseline and after 4 weeks of treatment. Both group received treatment five days per week for four weeks at one session. The result showed significant improvement in both group after intervention within group analysis [experimental group; FMA (p=<.001), MAS (p=<.001), HHD, (p=<.001), JTHF (p=<.001), and control group; FMA (p=<.001), JTHF (p=<.001), MAS (p=<.001), HHD (p=<.001)]. However, between group analysis showed significant difference in experimental group FMA (p=<.001), MAS (p=.004), JTHF (p=.018), HHD (p=<.001). The study concluded that Brunnstrom Hand Rehabilitation and Functional Electrical Stimulation combinedly provide better result to improve hand in patients with chronic stroke.