Neelum Zehra Bukhari
Liaquat National Hospital, Pakistan
Posters & Accepted Abstracts: J Neurol Neurophysiol
Introduction: Among people who have experienced a stroke, 55% to 75% have a paretic arm that causes motor impairments and experience difficulty in incorporating the affected hand into their activities. Mirror therapy (MT) may be a suitable alternative because of its low cost and simplicity. The movement of the intact limb gives the patient the illusion of which inputs are perceived through the affected limb behind the mirror. Substantial evidence has demonstrated the immediate efficacy of MT on motor recovery in people with stroke. In this intervention based study, mirror therapy effects has been found out for paretic arm retraining. Aim: Aim of this study is to emphasize occupational therapy interventions benefits as part of inpatient facilities for acute stroke patients. Method & Material: Randomized controlled trial was done. Data source was neurology inpatient ward and stroke unit at Liaquat National Hospital. 25 ischemic and 25 hemorrhagic stroke patients were enrolled after 24 hours of onset. The patients received bedside self-care retraining of five components according to FIM hierarchy, leaflets of stroke awareness, stroke support group and home modification plan to care givers were all the part of interventions. The intensity of interventions for both types of stroke was selfcare retraining five days twice per day each component. Leaflets were provided on bedside, stroke support group and home modification plans were given to attendants each day. Main outcome measurements were initial functional restoration assessment (IFRA) and functional independence measure (FIM). Results: Both types of stroke resulted with hope to recover and independent to minimize the burden of dependency. Conclusions: The application of occupational therapy interventions in acute stroke proved to be beneficial for both types of stroke in self care and motivation to be independent in their daily routine cores.
Neelum Zehra Bukahri completed her Bachelor degree in Occupational Therapy, Diploma in TbsOT and Master in special education. She is working on Functional Independence since 15 years with different disabilities. She has Presented paper at national and international conferences on Neurology and Stroke. She won encouragement award on presenting “Acute care model for stroke” at 23rd National Conference of Pakistan Society of Neurology.