Effectiveness of Active Rom Exercise in Strengthening Shoulder Muscle in Hemiparesis Patient Admitted in Selected Hospitals of Dehradun

Abstract

Introduction: Hemiparesis is a common consequence of stroke and often leads to significant weakness in the shoulder muscles, affecting mobility and daily functioning. Early rehabilitation, especially through active range of motion (ROM) exercises, plays an important role in improving muscle strength and preventing secondary complications. This study assessed the effectiveness of active ROM exercises in strengthening shoulder muscles among hemiparesis patients admitted to selected neuro wards in Dehradun.

Methodology: A quasi-experimental design was used with 60 hemiparesis patients, divided into an experimental group (n = 30) and a control group (n = 30). The experimental group performed structured active ROM exercises twice daily for 15 days, while the control group received routine physiotherapy. Shoulder muscle strength was assessed before and after the intervention using the Medical Research Council (MRC) scale. Data were analyzed using descriptive and inferential statistics, including paired and unpaired t-tests and chi-square tests.

Results: The experimental group showed a marked improvement in shoulder muscle strength. The mean strength score increased from 21.5 to 31.1, which was statistically significant (p =.0154). The control group showed no meaningful improvement (mean difference = 0.34, p =.2422). Post-test comparison between groups showed a significant difference, with the experimental group achieving higher strength scores than the control group (p = .00264). No significant association was found between post-test muscle strength and demographic variables.

Conclusion: Active ROM exercises were effective in improving shoulder muscle strength among hemiparesis patients within a 15-day period. Incorporating structured ROM exercises into routine rehabilitation can enhance recovery and support better functional outcomes.