A Comparative Study Between Reversed Mirror Therapy Versus Graded Repetitive Arm Supplementary Program Exercise Along with Mirror Therapy for Sub-Acute Upper Limb Stroke

Background: "Stroke (CVA) is a sudden neurological deficit resulting from an interruption or significant reduction in cerebral blood flow, leading to localized brain tissue injury due to ischemia or hemorrhage. "The purpose of this study is to compare the effect of reversed mirror therapy versus graded repetitive arm supplementary program along with mirror therapy for improving grip strength and arm, hand functions. Aim: The aim of the study is to compare the effect of reversed mirror therapy versus graded repetitive arm supplementary program along with mirror therapy for improving "Evaluation of arm and hand function alongside grip strength in subacute upper limb stroke" study Design: quasi experimental study. Method: sampling of 30 subjects of age between 40-50 years of male were selected from the JKKMRF college of physiotherapy. Group A of 15 subjects receives reversed mirror therapy, and Group B receives graded repetitive arm supplementary program along with mirror therapy. The values of Pre and post interventions were assessed by hand grip strength test and chedoke arm and hand activity inventory. RESULT: Group A sub-acute stroke patients were included in the study and completed the 15 sessions of reversed mirror therapy with mirror therapy they were re-evaluated at four-month follow up "A two-tailed p-value of less than 0. 0001 suggests a statistically significant difference of high magnitude, based on conventional benchmarks. " Conclusion: we conclude that the graded repetitive arm supplementary program with mirror therapy has a improvement of grip strength in hand, arm functions on sub-acute stroke. Key words: Reversed mirror therapy. Graded repetitive arm supplementary program, Mirror therapy, HAND grip strength test, chedoke arm and hand activity inventory.