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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Review Papers | Physiotherapy | India | Volume 12 Issue 4, April 2023


Review of Literature on the Effect of Constraint induced Movement Therapy along with Proprioceptive Neuromuscular Facilitation in Upper Limb Fine Motor Skills in Chronic Stroke Patients

Anshu Priya [2] | Dr. Annie Thomas [3]


Abstract: Aim: Patients with chronic strokes are most frequently impacted by upper limb dysfunction over a prolonged period of time, which further contributes to a person's deterioration of fine motor skills. This review's objective was to assess the literature and studies on the effects of CIMT and PNF on the upper limb fine motor skills of chronic stroke patients. Methods: A thorough search using the keywords constraint-induced movement therapy, proprioceptive neuromuscular facilitation, upper limb, fine motor skills, chronic stroke, dexterity, sollerman-hand function test, box and block test, post-stroke, rehabilitation, AND, OR, IN was conducted in the databases of PubMed, PEDro, and Google Scholar. Since 2007, case-control trials, comprehensive reviews, meta-analyses, randomized control trials, and quasi-experimental studies. Results: There were 13 studies in total. According to this review's findings, CIMT and PNF have both significantly improved the fine motor abilities in the upper limbs of chronic stroke patients. Conclusions: the conclusion from the analysis of this review, that when PNF (Proprioceptive Neuromuscular Facilitation) is applied in combination with CIMT (Constraint Induced Movement Therapy) can exemplify the favorable impacts and results in improving the upper limb fine motor skills. Implications: By combining CIMT and PNF and designing them in a way that enhances a person's dexterity, we can maximize the process of development for upper limb fine motor skills in chronic stroke patients.


Keywords: CIMT, PNF, chronic stroke, upper limb


Edition: Volume 12 Issue 4, April 2023,


Pages: 389 - 393


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