Combit Vs HABIT: Improvement in Tone and Function of Hemiplegic Upper Limb – A Randomized Comparison Trial

Authors

Raghumahanti Raghuveer
Department of Physiotherapy, Manav Rachna International Institute of Research and Studies, Faridabad, Haryana, India.
Ekta Chitkara
Faculty of Allied Health Sciences, Manav Rachna International Institute of Research and Studies, Faridabad, Haryana, India.
Brijesh Kumar
Department of Physiotherapy, Sardar Bhagwan Singh PG Institute of Biomedical Sciences and Research, Dehradun, Uttarakhand, India.
Parul Raj Agarwal
Department of Physiotherapy, Heritage Institute of Medical Sciences, Varanasi, Uttar Pradesh, India.

Abstract

Background: Hemiplegia following stroke leads to impairments in tone and motor function of the affected upper limb. Recently, Constraint-induced Movement Therapy (CIMT) and Bimanual Training (BIT) has been proved to have a positive effect on upper limb function. But these approaches have limitations in the clinical application of transfer of function. A hybrid model of therapy combining the effects of CIMT and Bimanual training needs to be studied. Combined Modified Constraint-induced Movement Therapy along with Bimanual Intensive Training (COMBiT) a form of distributed practice model needs to be compared with a standard Practice Hand Arm Bi Manual Training (HABIT) model to determine its effectiveness.