Effectiveness of Modified Constraint-Induced Movement Therapy Versus Routine Exercise on Upper Extremity Functions among Post-Stroke Hemiparetic Patients

Background: Stroke remains a leading cause of long-term disability worldwide, with upper extremity hemiparesis being a common and debilitating consequence. Modified Constraint-Induced Movement Therapy (mCIMT) has emerged as a promising rehabilitation strategy to improve upper limb function by counteracting learned non-use. This study aimed to assess the effectiveness of mCIMT versus routine exercise on upper extremity functions among post-stroke hemiparetic patients. Methods: A quasi-experimental pre-test post-test control group design was employed at a selected tertiary care hospital in Western Maharashtra, India. A total of 60 post-stroke hemiparetic patients (aged 30-60 years, 1-9 months post-stroke, with specific wrist/finger extension) were randomly allocated into an intervention group (n=30) receiving mCIMT for 4 hours daily for 7 consecutive days, and a control group (n=30) receiving routine rehabilitation. Upper extremity function was assessed using the Motor Activity Log (MAL) and Modified Sollerman Hand Grip Function Scale at pre- and post-intervention. Data were analyzed using descriptive and inferential statistics (Wilcoxon test, Mann-Whitney test, ANOVA). Results: Both the intervention and control groups showed significant improvements in motor arm function (intervention: 56.97% change, p