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Effect of motor training involving the less-affected side ( MTLA ) in post-stroke subjects : a pilot randomized controlled trial . INTRODUCTION Poststroke , less-severe motor impairment occurs on the ipsilesional side of body . The objective of the present study was to evaluate the effectiveness of the motor training involving the less-affected side ( MTLA ) in stroke . METHODS This was a randomized , controlled , double-blinded pilot study conducted in the occupational therapy unit of a rehabilitation Institute . A convenience sample of 35 stroke subjects ( mean poststroke duration , 28.76 weeks ) was randomized into two groups ( the experimental group : 17 and control group : 18 ) . Thirty-two participants completed the entire study protocol . The experimental group and control group were provided MTLA and neurophysiological-based conventional therapy respectively . Both the groups received 24 treatment sessions ( 60 minutes each ) over the period of two months . The Affected side was assessed using Brunnstrom recovery stage ( BRS ) and Fugl-Meyer assessment ( FMA ) whereas the less-affected side was evaluated by Minnesota manual dexterity test ( MMDT ) , Purdue peg board test ( PPBT ) and Manual Muscle Testing ( MMT ) . RESULTS Postintervention , the less-affected side of experimental group demonstrated significant improvement for MMDT ( P = 0.003 ) , PPBT ( P = 0.01 ) and MMT ( P < 0.001 to 0.043 ) in comparison to the control group . Further , as compared to the control group , the experimental group exhibited positive significant change for the measure of affected side [ BRS ( P < 0.001 ) and FMA ( P < 0.001 to 0.03 ) ] at post assessment . CONCLUSION MTLA enhanced the muscle strength , dexterity and coordination of the less-affected side as well as the motor recovery of the affected side in poststroke hemiparetic subjects .
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Intervention_Educational
motor training
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Intervention_Educational
motor training
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Intervention_Physical
MTLA and neurophysiological-based conventional therapy respectively
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Outcome_Physical
Brunnstrom recovery stage ( BRS )
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Outcome_Physical
Fugl-Meyer assessment ( FMA )
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Outcome_Physical
Minnesota manual dexterity test ( MMDT )
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Outcome_Physical
Purdue peg board test ( PPBT )
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Outcome_Physical
Manual Muscle Testing ( MMT )
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Outcome_Physical
MMDT
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Outcome_Physical
PPBT
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Outcome_Physical
MMT
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Outcome_Other
0.001 ) and
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Outcome_Other
CONCLUSION
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Participant_Condition
post-stroke subjects
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Participant_Sample-size
Thirty-two
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Participant_Condition
side in poststroke hemiparetic subjects