Vol. 2, Issue 1, Part A (2025)

Background: Upper limb hemiparesis is a common consequence of stroke, severely impacting independence and quality of life. Conventional therapies often yield limited functional improvement due to their generalization and lack of goal-directed activity.
Objective: This study investigates the efficacy of task-oriented training (TOT) in enhancing upper limb function among individuals with post-stroke hemiparesis, emphasizing real-world applicability.
Methods: A randomized controlled trial was conducted involving 40 post-stroke patients with hemiparetic upper limb weakness. Participants were divided into two groups: the TOT group received structured, goal-specific tasks (e.g., reaching, grasping, lifting), while the control group underwent traditional physiotherapy. Upper limb function was assessed using the Fugl-Meyer Assessment for Upper Extremity (FMA-UE), Wolf Motor Function Test (WMFT), and Motor Activity Log (MAL) over 6 weeks.
Results: TOT participants demonstrated statistically significant improvements in FMA-UE scores (mean difference: +14.3, p<0.01) compared to the control group (+6.1). WMFT times decreased notably (p<0.05), and MAL scores indicated increased use and quality of movement in daily activities.
Conclusion: Task-oriented training significantly enhances functional recovery of the upper limb in post-stroke hemiparesis, supporting its integration into standard neurorehabilitation protocols.