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Efficacy of motor relearning programme on rehabilitation of upper extremity function in stroke patients


Background: The most debilitating condition for stroke patients, impacting their quality of life, is motor impairment in the upper extremities. This study aimed to evaluate the impact of the Motor Relearning Programme (MRP) on enhancing stroke patient’s upper limb motor function.

Methods: A systematic review using trial studies from an online journal database published from 2013 to 2023. The participants of this study are stroke patients. The utilization of the MRP is compared with an alternative intervention, with the study aiming to assess the motor function of the upper extremities as its primary outcome. The quality of the trial was assessed using the JBI checklist

Results: Eight studies, encompassing 279 stroke patients aged 35 to 70, were incorporated. These trials compared the MRP with various interventions, including mirror therapy, Constraint-Induced Movement Therapy (CIMT), bobath, progressive resisted exercise, thermal stimulation, and bilateral task-related training. The interventions spanned an average duration of 3-8 weeks, with sessions occurring 3-6 times per week and lasting between 30 and 120 minutes each. According to the Joanna Briggs Institute (JBI) assessment, all studies achieved a good quality rating, with total points ranging from 9-12. Notably, six studies demonstrated a significant improvement in upper extremity motor function with MRP, while one showed no significant difference. In contrast, one study indicated that CIMT demonstrated more effective results.

Conclusion: MRP significantly improves upper extremity function in stroke patients.


  1. Lerma Castaño PR, Rodríguez Laiseca YA, Montealegre Suárez DP, Castrillón Papamija DB, Losada Urriago GE. Effects of kinesiotaping combined with the motor relearning method on upper limb motor function in adults with hemiparesis after stroke. J Bodyw Mov Ther. 2020;24(4):546–53.
  2. Ullah I, Arsh A, Zahir A, Jan S. Motor relearning program along with electrical stimulation for improving upper limb function in stroke patients: A quasi experimental study. Pak J Med Sci Q. 2020;36(7):1613–7.
  3. Doyle S, Bennett S, Fasoli SE, McKenna KT. Interventions for sensory impairment in the upper limb after stroke. Cochrane Database Syst Rev. 2010;2010(6):CD006331.
  4. Yavuzer G, Selles R, Sezer N, Sütbeyaz S, Bussmann JB, Köseoğlu F, et al. Mirror therapy improves hand function in subacute stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2008;89(3):393–8.
  5. Pan JX, Chen YP, Wei NN. [Improvement of Upper Limb and Hand Functions of Stroke Patients by Balancing Acupuncture Combined with Motor Relearning Training]. Zhen Ci Yan Jiu. 2018;43(2):123–6.
  6. Jan S, Arsh A, Darain H, Gul S. A randomized control trial comparing the effects of motor relearning programme and mirror therapy for improving upper limb motor functions in stroke patients. J Pak Med Assoc. 2019;69(9):1242–5.
  7. Rauf R, Rashad A, Noreen A, Intikhab R, Suleman TA, Mughal S. Comparison of mirror therapy and motor relearning program in improving the upper limb motor function of patients with stroke. PAFMJ. 2021;71(4):1364–7.
  8. Narang A, Arora R, Arora L. Effect of motor relearning programme on neurological functions and level of disability on upper limb activity in post-stroke patients. World Journal of Advanced Research and Reviews. 2023;18(3):007–15.
  9. Batool S, Soomro N, Amjad F, Fauz R. To compare the effectiveness of constraint induced movement therapy versus motor relearning programme to improve motor function of hemiplegic upper extremity after stroke. Pak J Med Sci Q. 2015;31(5):1167–71.
  10. Annethattil A, Paul J, Sebastian J. Combined effect of Bobath technique and Motor Relearning Program (MRP) over its individual effects to improve upper limb functions in stroke patients. International Journal of Medical and Exercise Science. 2017;3(4):435-42.
  11. Santhosh S, Suma NV. To compare the effect of motor relearning programme and progressive resisted exercise for upper-extremity functions in subacute MCA stroke survivors. Int J Phys Educ Sports Health. 2023;10(2):107–12.
  12. Paul J. Comparative study on the effect of task oriented motor relearning program and thermal stimulation over upper limb motor function among stroke subjects. Int J Physiol Pathophysiol Pharmacol. 2014;227–32.
  13. Kaur G, Kulkarni PS, Hazari A. Comparison of motor relearning program with bilateral arm training on upper-extremity control in subacute stroke survivors. Crit Rev Phys Rehabil Med. 2019;31(4):353–61.
  14. Raghavan P. Upper Limb Motor Impairment After Stroke. Phys Med Rehabil Clin N Am. 2015;26(4):599–610.
  15. Franceschini M, La Porta F, Agosti M, Massucci M, ICR2 group. Is health-related-quality of life of stroke patients influenced by neurological impairments at one year after stroke? Eur J Phys Rehabil Med. 2010;46(3):389–99.
  16. Pollock A, Farmer SE, Brady MC, Langhorne P, Mead GE, Mehrholz J, et al. Interventions for improving upper limb function after stroke. Cochrane Database Syst Rev. 2014;2014(11):CD010820.
  17. Chan DYL, Chan CCH, Au DKS. Motor relearning programme for stroke patients: a randomized controlled trial. Clin Rehabil. 2006;20(3):191–200.
  18. Satwinder Singh RA. Effect of Motor Relearning Programme Versus Bobath Approach on functional mobility in hemiplegic patients – a randomized clinical trial. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). 2022;21(7):01–6.
  19. Gajanan B, Vivek K, Chandali D, Savita R, Ashok S, Parag S. Comparison of motor relearning program versus bobath approach at every two weeks interval for improving activities of daily living and ambulation in acute stroke rehabilitation. International Journal of Basic and Applied Medical Sciences. 3(3):70–7.
  20. André K, Laurette Brigelia N, Fatouma MAL, Betty Chancelle N, Idriss MW, Wilfrid Jean MM, et al. Effect of physical treatment on the physicochemical, rheological and functional properties of yam meal of the cultivar “ngumvu” from dioscorea alata l. of congo. International Journal of Recent Scientific Research. 10(11):35809–15.
  21. Shumway Cook H, Woollacatt. Motor Control-translating Research into Clinical Practice. 4th edition. Wilkins LW&: 2012.
  22. Yin Y, Gu Z, Pan L, Gan L, Qin D, Yang B, et al. How does the motor relearning program improve neurological function of brain ischemia monkeys? Neural Regeneration Res. 2013;8(16):1445–54.
  23. Kwakkel G, Veerbeek JM, van Wegen EEH, Wolf SL. Constraint-induced movement therapy after stroke. Lancet Neurol. 2015;14(2):224–34.
  24. Corbetta D, Sirtori V, Castellini G, Moja L, Gatti R. Constraint-induced movement therapy for upper extremities in people with stroke. Cochrane Database Syst Rev. 2015;2015(10):CD004433.

How to Cite

Dananjaya, I. M. D., Silakarma, D., & Dewi, M. Y. A. (2024). Efficacy of motor relearning programme on rehabilitation of upper extremity function in stroke patients. Intisari Sains Medis, 15(1), 25–29.




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I Made Dwi Dananjaya
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Made Yudha Asrithari Dewi
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