Impact of Graded Motor Imagery Training Paradigm on Shoulder Pain and Quality of Life in Patients with Chronic Stroke
Main Article Content
Abstract
Background: Stroke is a major cause that affect quality of human being all over the universe. The most significant component of upper- extremity problems leading to disability is shoulder pain. The shoulder joint has a great range of movement and minimal joint stability that is susceptible to a number of post-stroke problems, including joint pain, subluxation, and restricted range of motion. Purpose: The study was conducted to examine the impact of graded motor imagery training on shoulder pain as well as quality of life after stroke. Subjects: Forty-two patients with chronic stroke were included in the study. Patients have been selected from Merit university outpatient clinic. Methods: Patients in this study were randomized into 2 groups; Group (A) study groups: 21 patients were given Graded motor imagery training paradigm and traditional therapy (take-oriented active/passive range of motion training), while Group (B) control group: 21 patients were received task-oriented active/passive range of motion training only. Results: A significant improvement on shoulder pain as well as quality of life in group A compared with group B. (p<0.05). Mean values of KVIQ scale after therapy were 4.71 and 4.48 in groups A and B. Mean values of active shoulder flexion ROM after therapy were 169.86 and 163.05 in groups A and B. Mean values of the Shoulder Pain and Disability Index (SPADI) after therapy were 19.19 and 25.43 in groups A and B. Mean values of time selection of affected side (sec) after therapy were1.59 and 1.85 in groups A and B. Mean values of accuracy of response of affected side were 98.81 and 94.52 in groups A and B. Conclusion: Graduated motor imagery training improved quality of life and reduced shoulder pain in patients with chronic stroke, according to the study, and may be useful adjuncts to conventional physical therapy protocols to improve shoulder function.