Cognitive Multi-sensory Rehabilitation on Upper Limb Functions and Fatigue in Different Grades of Spasticity in Stroke Patients
This interventional study aims to investigate the therapeutic efficacy of Cognitive multi-sensory rehabilitation (CMR) on upper limb function and fatigue in chronic stroke patients. The main question is: • Does cognitive multi-sensory rehabilitation significantly affect upper limb function and fatigue in stroke patients? Participants will be assigned into two groups. They will receive 12 sessions of study group CMR and traditional physical therapy and control group traditional physical Therapy rehabilitation. CMR 40 minutes immediately followed by 20 minutes of selected physical therapy program, three sessions per week for four weeks.
• Age between 45 and 65 years.
• 6-18 months after ischemic stroke
• living in the community (i.e., not in a long-term care home).
• medically stable.
• normal score in the Montreal Cognitive Assessment (MoCA: 25 to 30, maximum score = 30).
• Spasticity of upper limb muscles ranged from (grade 1:2) according to the Modified Ashworth scale.