30, December 2025

Effects Of Modified Constraint Induced Movement Therapy Versus Scapular Proprioceptive Neuromuscular Facilitation on Upper Limb Motor Function in Acute and Subacute Stroke Patients

VOLUME-9; ISSUE-12; DEC-2025

Author(s): 1 Dr.Vedangi Umbarkar, 2 Dr.Tanushree Aloni, 3 Dr.Anisha Johar,

Authors Affiliations:

1.Student , Physiotherapy,MUHS Nashik,  Chhatrapati Sambhajinagar, India

2.Professor, Musculoskeletal Physiotherapy, MUHS Nashik,  Chhatrapati Sambhajinagar, India

3.Professor,  Musculoskeletal Physiotherapy, MUHS Nashik,  Chhatrapati Sambhajinagar, India

 

DOIs:10.2017/IJRCS/202512017     |     Paper ID: IJRCS202512017


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According to the World Health Organization, stroke is characterized by the sudden onset of focal neurological deficits resulting from impaired brain function. Following stroke, many survivors experience reduced use of the affected upper limb. Modified Constraint-Induced Movement Therapy (mCIMT) is designed to enhance motor and functional performance of the paretic arm, whereas Proprioceptive Neuromuscular Facilitation (PNF) of the scapula aims to improve muscle activation patterns and joint movement efficiency. This study aimed to compare the effectiveness of mCIMT and scapular PNF in improving upper limb motor function in post-stroke patients. A total of 32 participants were recruited and randomly allocated into two groups: one group received conventional physiotherapy combined with mCIMT, and the other received conventional physiotherapy combined with scapular PNF. Upper limb motor performance was assessed using the Fugl-Meyer Assessment as the primary outcome measure, while the Functional Independence Measure (FIM) served as a secondary outcome measure. Scores recorded on the first and final days of intervention were statistically analyzed. The results indicated that both treatment approaches led to significant improvements in upper limb motor function. However, mCIMT demonstrated superior effectiveness in enhancing overall motor performance, particularly fine motor skills. In contrast, scapular PNF was more effective in reducing pain and improving motor function primarily at the shoulder and scapular region, with no significant improvement observed in fine motor abilities.
Stroke, Modified Constraint-Induced Movement Therapy (mCIMT), Scapular PNF, Upper Limb Motor Function

1 Dr.Vedangi Umbarkar, 2 Dr.Tanushree Aloni, 3 Dr.Anisha Johar, (2025); Effects Of Modified Constraint Induced Movement Therapy Versus Scapular Proprioceptive Neuromuscular Facilitation on Upper Limb Motor Function in Acute and Subacute Stroke Patients, International Journal of Research Culture Society,    ISSN(O): 2456-6683,  Volume – 9,   Issue –  12,  Pp.86-91.        Available on – https://ijrcs.org/

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