Effects of Perfetti's Method on Cognition, Dexterity and Sensory Motor Function of the Upper Extremity in Stroke Patients: A Randomized Controlled Tria

Authors

  • Syed Muhammad Mateen Lecturer, AKFA College of Physiotherapy, Dera Ghazi Khan, Pakistan
  • Ayesha Jamil Assistant Professor, University of Lahore, Lahore, Pakistan
  • Umair Ahmad Associate Professor, University of Lahore, Lahore, Pakistan

Keywords:

Stroke, Perfittis, Cognition, Dexteriety, Sensory Motor

Abstract

Background: A stroke is the sudden loss of neural function caused by an interruption of blood flow to the brain. It causes symptoms such as paresis, hypoesthesia, cognitive impairment, spasticity.

Objective(s): To compare the effects of Perfetti’s Method versus routine physical therapy on cognition, dexterity, and sensory motor function of the upper extremity in stroke patients.

Methodology: In this study, 74 stroke participants were enrolled. Randomised into two groups, with 37 patients in each group. Group A was treated with routine physical therapy, and Group B was treated with Perfetti’s Method and routine physical therapy. The measurements of both groups were recorded at the beginning of the study and after the 12th post-treatment week. Sensory motor function was measured with the Fugal-Meyer Assessment Upper Extremity (FMA-UE), dexterity was measured with the Box and Block Test (BBT), and level of cognition was measured with the Mini-Mental State Exam (MMSE) in both groups at the beginning of the study and after the end of training (12th post-treatment weak). Data was gathered using the Purposive sampling method and data entered into SPSS-25 for statistical analysis.

Results: According to this study 74 participants, mean age was 53.21±12.02 male were 45(60.8%) and female were 29(40.2%). Mean Body Mass Index was 23.23±3.47. Right Side was affected among 32(43.2%) and Left Side was affected among 42(56.8%) Sensory Motor Function mean was Pretreatment 66.70±26.88 and Post-treatment 110.09±11.91. Level of Cognition mean was pretreatment 22.62±3.30 and Post-treatment 29.31±1.47. Dexterity mean Pretreatment was 8.18±11.64 and Post-treatment was 84.48±15.03. P Value was 0.00 which was <0.005 which means that there was significant difference between the mean value of pretreatment and post-treatment sensory motor function, Level of Cognition and Dexterity. There was significant difference between the mean value of Group A and B in sensory motor function, Level of Cognition and Dexterity as the P Value was 0.027, 0.04 and 0.02 respectively.

Conclusion:

Perfetti's method was more effective than routine physical therapy.

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Published

2024-03-31

How to Cite

1.
Syed Muhammad Mateen, Jamil A, Ahmad U. Effects of Perfetti’s Method on Cognition, Dexterity and Sensory Motor Function of the Upper Extremity in Stroke Patients: A Randomized Controlled Tria. J Riphah Coll. Rehabili. sci. [Internet]. 2024Mar.31 [cited 2025Jul.18];12(1). Available from: https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1718

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Original Articles