TARGETED MOTOR RELEARNING STRATEGIES FOR DOMINANT UPPER LIMB REHABILITATION FOLLOWING MIDDLE CEREBRAL ARTERY STROKE: A CASE SERIES.

A short-term study on the Efficacy of the Motor Relearning Program (MRP) for Upper-Limb Function Improvement in the Affected Dominant Hand of MCA Stroke Patients: A Case Series Study.Background:Middle cerebral artery (MCA) stroke often results in hemiparesis or hemiplegia, which impairs the dominant hand's function. Stroke rehabilitation strategies, particularly the Motor Relearning Program (MRP), have gained prominence in improving motor functions. This case series explores the application of MRP for upper-limb function recovery in MCA stroke patients.Objective:To assess the effectiveness of the MRP in improving upper-limb motor function in MCA stroke patients, focusing on the recovery of the affected dominant hand.Methods:Five MCA stroke patients with dominant hand impairment participated in this case series. MRP-based rehabilitation interventions were provided over 12 weeks. The outcome measures included the Fugl-Meyer Assessment (FMA), Action Research Arm Test (ARAT), and patient-reported outcomes on Activities of Daily Living (ADL).Results:All patients demonstrated significant improvements in upper-limb function, particularly in motor control and task-oriented activities. There was notable progress in the FMA and ARAT scores, indicating enhanced motor recovery and functionality.Conclusion: The Motor Relearning Program effectively facilitated functional recovery of the affected dominant hand in MCA stroke patients, showing promise as a targeted rehabilitation intervention for post-stroke motor impairments.