Effect of Constraint-Induced Movement Therapy Versus Bobath Approach to Improve Upper Limb Motor Function Among Stroke Survivors CIMT vs Bobath in Stroke Survivors' Motor Function
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Abstract
Background: Stroke is a leading cause of disability globally, with upper limb motor deficits significantly affecting the quality of life of survivors. Constraint-Induced Movement Therapy (CIMT) and the Bobath approach are two commonly used rehabilitation techniques aimed at improving upper limb function post-stroke.
Objective: To determine the effectiveness of CIMT versus the Bobath approach in improving upper limb motor function among stroke survivors.
Methods: This randomized clinical trial included 26 stroke patients aged 50-70 years, recruited from National Hospital Lahore, Jinnah Hospital Lahore, and home-based sessions. Patients were randomly assigned to either the CIMT group (n=13) or the Bobath group (n=13), and interventions were administered for four sessions per week over eight weeks. Upper limb motor function was assessed using the Fugl-Meyer Assessment (FMA-UE) and the Chedoke Arm and Hand Activity Inventory (CAHAI). Data analysis was performed using SPSS version 25.
Results: Post-intervention, the CIMT group showed significantly greater improvements in FMA-UE scores (56.90 ± 3.39) compared to the Bobath group (53.68 ± 2.10, p<0.001). CAHAI scores also favored CIMT (70.77 ± 2.88) over the Bobath approach (69.31 ± 3.14, p=0.021).
Conclusion: Both interventions improved upper limb function, but CIMT was more effective.
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