Efficacy Of Direct Myofascial Release Technique on Shoulder Spasticity and Quality of life in patients with Chronic Stroke
Description
Poststroke spasticity (PSS) is a common complication that causes the arm and legs to be in an abnormal position. Myofascial release (MFR) is a protected low load stretch that helps in muscle shortness, muscle spasticity, and tightness. The aim is to determine the effectiveness of direct myofascial release on shoulder spasticity and quality of life in patients with chronic stroke. Spasticity is one of the significant signs of upper motor neuron syndrome and it is due to a complicated physiopathology mainly after stroke. Its prevalence is thought to range from 4% to 43%, with an incidence of disability of 2% to 13%.Stroke is a neurological condition that occurs mainly due to the obstruction of blood flow in the blood vessels. Stroke is among the most frequent condition in all neurological condition that leads to physical disability globally. The major goal of stroke rehabilitation is functional improvement by maximizing the independence, life style, and dignity of the patient. In recent advances shows that indirect myofascial release plays a significant role in improving balance and motor functions in stroke. There has been very few studies that showed the significant effect of Indirect MFR for spasticity in stroke patients mainly for lower limb muscles. But till date there was lack of evidence for shoulder spasticity in patients with chronic stroke especially in middle cerebral artery involvement because it attacks the upper limb functions mostly. So, there is need to do further study on direct myofascial release therapy on shoulder spasticity and quality of in middle cerebral artery stroke patients. This study was helpful in clinical and rehabilitative purpose to reduce spasticity and improve quality of life. The results from this study are very inspiring and demonstrate the benefits of direct myofascial release in reducing spasticity and improving sensory motor functions and quality of life that was affected after stroke. Thus, direct myofascial release can be incorporated into conventional rehabilitation of chronic stroke individual for enhancing their motor functions and abolishment of spasticity. My study concluded that the above calculated value is significant value, strictly proves that the direct myofascial release technique was very effective in improving upper limb function in chronic middle cerebral artery stroke.