EFFECT OF TASK-ORIENTED I-ADL TRAINING ON FUNCTIONAL INDEPENDENCE AND CAREGIVER STRAIN IN STROKE PATIENTS: A RANDOMIZED CONTROLLED TRIAL

Abstract

A complicated malfunction brought on by a brain damage is known as a cerebrovascular accident or stroke. Paralysis of one side of the body is known as hemiplegia, which is caused by upper motor neuron failure following a stroke.

Methods:

At Santosh College of Occupational Therapy in Ghaziabad, a randomized control trial investigation was carried out. Participants in the experimental group underwent structured task-oriented I-ADL training focusing on meaningful, goaldirected daily activities. The control group was given traditional rehabilitation exercises. Standardized outcome metrics were used to assess functional independence and caregiver strain at baseline and post-intervention.

Results:

The current study's findings demonstrate that in the experimental group, more pronounced changes were observed as the Lawton IADL scores demonstrated a highly significant enhancement(t = -16.33, p < 0.001). Similarly, MCSI scores showed a very notable decrease in caregiver burden (t = 13.682, p < 0.001). On the other hand, Lawton IADL scores improved statistically significantly within the control population (t = -10.67, p < 0.001). Additionally, control group for MCSI demonstrated a significant drop incaregiver strain (t = 11.298, p < 0.001).

Conclusion:

The current study's findings demonstrate that while both groups showed improvement over time, the experimental group experienced significantly greater enhancement in functional independence and significant decrease in caregiver stress in contrast to the control group.