Longitudinal Assessment of Post-Stroke Recovery in Mca Patients Undergoing Physiotherapy: An Observational Study

Abstract

Background: Strokes, whether ischemic or haemorrhagic, present complex motor deficits influenced by genetics,
pre-existing conditions, and rehabilitation. In both developed and low-middle-income countries like India, strokes pose
significant health challenges, with the majority of cases in LMICs. The Fugl-Meyer scale assesses stroke recovery, focus
ing on sensorimotor function. This study aims to optimize intervention timing for physiotherapists by understanding
stroke recovery dynamics.
Methods: This observational study recruited 50 patients with ischemic MCA stroke within 30 days of onset. Over 3
months, patients were assessed using the MOTOR ASSESSMENT scale, FUGL-MEYER ASSESSMENT scale, and FUNCTIONAL
INDEPENDENCE MEASURE. Inclusion criteria were ages 40-60, Fugl-Meyer score <66 for upper extremity, <6 in sitting
balance, and FIM score <3 For severe communication or memory deficit. Exclusion criteria were other neurological
diseases, subarachnoid haemorrhage, transient ischemic attack, brainstem lesion, and orthopaedic impairments.
Results: The research groups showed significant progress.
Arm mean: 12.56 (pre-test) to 31.44 (last post-test), f value 720.97, p < 0.05. Leg mean: 10.42 to 29.74, f value 2358.32,
p < 0.05. Sensation: 7.46 to 20.18, f value 2022.75, p < 0.05. MAS: 6.86 to 25.42, f value 2224.19, p < 0.05.
FIM: pre-test mean 22.56, third-month post-test mean 38.62, both p < 0.05, f value 1870.32.
Conclusion: Overall, significant improvements were observed in various scales within the study groups, including Fugl
Meyer Scale scores for arm, leg, and sensation, as well as MAS and FIM scores (p < 0.05).