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Comparative Studies | Neurology | India | Volume 12 Issue 4, April 2023 | Popularity: 5.1 / 10

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Effect of Neuro Dynamic Technique (NDYT) Versus Instrument Assisted Soft Tissue Mobilization (Iastm) in Post-Stroke Muscle Tone and Functional Performance of Upper Extremity - A Comparative Study

Keyur R. Prajapati, Dr. Rushikesh K. Joshi, Dr. Bhumika Vithalani

Abstract: Background: Stroke is the sudden loss of neurological function manifested by Motor deficits on one side mainly (altered tone and postural control). Post-stroke UE altered tone mainly Hypertonicity in which neuromuscular imbalance of agonist and antagonist strength, soft tissue stiffness which may be causing Abnormal postural limb patterns and severe functional limitations decreased quality of life. velocity-dependent increase in tonic stretch reflexes, can distinguish Spasticity from other similar movement disorders such as rigidity, hyperreflexia. NDYT reduces tension of neural tissue with neural sliding phenomenon, to inhibit hypertonic muscle and lengthen muscle fiber IASTM is used. Method: 39 Participants were selected on basis of inclusion criteria & exclusion criteria. Pre and post measurement of FMA-UE, MAL and MTS was administered for Shoulder adductors, elbow, wrist and finger flexors. 3 sessions per week for 2 weeks, all participants were given 40-minutes Tailored Protocol (TP), and 15-minute per session additionally for IASTM and NDYT group. Result: There is significant difference in all 4 domains of MTS (P<0.05) between three groups and no difference in FMA-UE and MAL scale. Conclusion: IASTM technique shows better improvement of upper extremity muscle tone and reduces spasticity.

Keywords: Stroke, Spasticity, IASTM, NDYT.

Edition: Volume 12 Issue 4, April 2023

Pages: 339 - 346

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