Kot Addu

Researchers are evaluating upper limb rehabilitation methods for individuals recovering from stroke. This clinical trial compares unilateral and bilateral task-oriented training approaches to see which better improves motor impairment, upper extremity function, and hand dexterity. The study will enroll 32 medically stable participants aged 40 to 75 years who have active shoulder movement and adequate cognition, focusing on stroke survivors between 6 and 24 months after their stroke. Participants will be assigned to either unilateral task-oriented training or bilateral task-oriented training groups. Both groups receive baseline electrical muscle stimulation (EMS) for 15-20 minutes on target muscles like wrist and finger extensors. The unilateral group performs functional exercises with only the affected arm, progressing from simple to complex tasks like drinking from a cup or hair combing. The bilateral group performs the same tasks using both arms simultaneously in a coordinated way. Training sessions occur four times per week for four weeks with therapist feedback. During the study, researchers will assess motor recovery and upper extremity function after four weeks using standardized tools. Participants will be monitored for improvements in motor function and hand dexterity. The study aims to identify which training method provides better rehabilitation outcomes. Safety and participant ability to consent will be ensured throughout the trial period.