International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Call for Papers | Fully Refereed | Open Access | Double Blind Peer Reviewed

ISSN: 2319-7064


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Masters Thesis | Physiotherapy | India | Volume 13 Issue 2, February 2024


To Study the Effect of Jigsaw Puzzle versus Modified Constraint Induced Movement Therapy on Fine Motor Abilities of Upper Extremities in Individuals with Subacute Stroke - An Experimental Study

Dr. Krishma Bhupatsinh Padhiyar | Dr. Khyati Shah


Abstract: Introduction: Stroke is one of the most serious disease affecting thousands of people worldwide. Clinically, a variety of focal deficits are possible, including changes in the level of consciousness and impairments of sensory, motor, cognitive, perceptual, and language functions. To be classified as stroke, neurological deficits persist for at least 24 hours. Motor deficits are characterized by paralysis (hemiplegia) or weakness (hemiparesis), typically on the side of the body opposite the side of the lesion. In the patients with stroke, the hemiplegic upper extremity can be a major cause that is responsible for activities of daily living. JIGSAW PUZZLE is a game puzzle that consists of gripping, holding and manipulating objects using concentration and coordination between eyes and hands. mCIMT is a technique used in physical rehabilitation to treat individuals with decreased upper extremity function. Aims: To study the effectiveness of Jigsaw Puzzle versus Modified Constraint Induced Movement Therapy on fine motor abilities of upper extremities in individuals with subacute stroke. Method: 30 subacute individuals were taken for the study those who fulfilled the inclusion criteria. They were randomly divided into two groups for the study, Group ? A will be given Jigsaw Puzzle training and Group ? B will be given mCIMT training. Participants received 1 hour individualized training session, for 4 weeks. An assessment was done prior to starting of intervention and after 4 weeks of intervention including FMA - UA and WMFT. Result: The result was analyzed within group and between group. For between group analysis for FMA and WMFT outcomes, result showed significant improvement, p value (<0.005). And within group, results showed significant improvement for Group ? B (<0.005). Conclusion: This Jigsaw Puzzle and mCIMT training groups are effective in improving fine motor abilities in subacute stroke individuals. Those who were trained under mCIMT training group showed better improvement as compared to Jigsaw Puzzle group.


Keywords: Stroke, mCIMT, Jigsaw puzzle, fine motor


Edition: Volume 13 Issue 2, February 2024,


Pages: 1295 - 1300


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