A randomized control trial will be done on diagnosed stroke patients of subacute stage in Fauji Foundation Hospital Rawalpindi and leading edge physical therapy and rehabilitation clinic.The purpose of the study is to determine Additional Effects of Kinesio-Taping along with conservative Physical Therapy on upper limb function, Range of motion and Spasticity in the patients with Subacute Stroke. The conservational physical therapy includes Passive and active ROMs 25 repetitions each, 3 times per week. PNF stretching (hold relax) for spastic muscles for 20 repetitions with a 10 second hold and 10 second relaxation of the muscle group 3 times per week.
D1 flexion and extension for 20 repetitions 3 times per week. Kinesio tape 3 times per week. (Anchor opposed to effected compartment to provide facilitation and sustained stretch). with srtrngth training included in week 3-6 with a resistance band of medium resistance.
treatment time will be 30 minutes on alternate days for six weeks.
Age group: 40-65 years onwards
Both males and females
Patients with history of diagnosed stroke and lie within subacute stage of stroke
MAS scale score of 1_2
Any congenital deformities
cognitive deficits
Fractures
Upper limb surgery
Parallel
KinesioTaping
Procedure/SurgeryThe experimental group will receive the following treatment for week 1-3 (3 days on alternate days): * Passive and active ROMs 25 repetitions each, 3 times per week. * PNF stretching (hold relax) for spastic muscles for 20 repetitions with a 10 second hold and 10 second relaxation of the muscle group 3 times per week. * D1 flexion and extension for 20 repetitions 3 times per week. * Kinesio tape 3 times per week. (Anchor opposed to effected compartment to provide facilitation and sustained stretch). For week 3-6 the treatment will include: * Passive and active ROMs 25 repetitions each, 3 times per week. * PNF stretching (hold relax) for spastic muscles for 20 repetitions with a 10 second hold and 10 second relaxation of the muscle group 3 times per week. * D1 flexion and extension for 20 repetitions 3 times per week. * Strengthening affected muscle groups by resistance training, 3 times per week (using a resistance band of mediu
Control
Procedure/SurgeryThe control group will receive the following treatment for week 1-3 on alternate days: * Passive and active ROMs 25 repetitions each, 3 times per week. * PNF stretching (hold relax) for spastic muscles for 20 repetitions with a 10 second hold and 10 second relaxation of the muscle group 3 times per week. * D1 flexion and extension for 20 repetitions 3 times per week. For week 3-6 the treatment will include: * Passive and active ROMs 25 repetitions each, 3 times per week. * PNF stretching (hold relax) for spastic muscles for 20 repetitions with a 10 second hold and 10 second relaxation of the muscle group 3 times per week. * D1 flexion and extension for 20 repetitions 3 times per week. * Strengthening affected muscle groups by resistance training, 3 times per week (using a resistance band of medium resistance).
Spasticity
velocity dependant passive resistance to stretch will be assesed using the modified ashworth scale.
Upper limb function
Upper limb function will be assessed using the wolf motor function test for upper limb.
Range of motion
range of motion of Wrist, Elbow and shoulder joint will be assessed using a goiniometer.
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