A Randomized Controlled Trial to Compare the Effect of Neurodynamic Mobilization Versus Static Stretching on Motor Function Recovery of the Upper Limb in Stroke Patients at a Tertiary Care Hospital

Stroke is a leading cause of long-term disability. It often leads to upper limb motor impairments that interfere with daily activities and independence. Static stretching is commonly used in rehabilitation to improve muscle flexibility, but it mainly focuses on the musculoskeletal system. Neurodynamic techniques move neural tissues. They might provide extra benefits by addressing neural restrictions that cause motor issues. Even though these techniques are used more often, there is limited evidence comparing the effectiveness of neurodynamic mobilization and static stretching in improving upper limb motor function for stroke patients. This study aims to address that gap by evaluating which method works better. The goal is to help clinicians choose the best rehabilitation strategies to improve motor recovery and functional outcomes for stroke survivors.

Objectives:

To evaluate the effect of neurodynamic mobilization on upper limb motor function in stroke patients.

To evaluate the effect of static stretching on upper limb motor function in stroke patients.

To compare the effectiveness of neurodynamic mobilization versus static stretching in improving upper limb motor function.

Hypothesis:

Null Hypothesis: There is no significant difference between neurodynamic mobilization and static stretching in improving upper limb motor function in stroke patients.

Alternative Hypothesis: There is a significant difference between neurodynamic mobilization and static stretching in improving upper limb motor function in stroke patients.

A total of 30 stroke patients with upper limb motor impairments will be randomly allocated into two groups: Group A receiving neurodynamic mobilization and Group B receiving static stretching. Both interventions will be administered for 20 minutes per session, 5 days per week, for 4 weeks. Outcomes will focus on improvements in upper limb motor function. The findings of this study are expected to provide evidence-based guidance for physiotherapists in selecting more effective rehabilitation strategies for enhancing upper limb recovery in stroke survivors.