Gitana Bižokaitė, Judita Daratienė


Cerebrum blood circulation disorders – are the most common and economically disadvantaged illness, which meaning and importance in the society health structure is obvious. The most severe manifestation of this disorder – a stroke (cerebrum infarct, haemorrhage). Hand muscules tone disorders is one of the possible stroke results.

Study aim: to evaluate the influence of warmth to hand spasticity reduction in the occupational therapy for pacients after stroke.

Study methods : investigatives after stroke were randomized into two groups. The first group included 30 patients who applied paraffin appliques, second group – 30 patients who paraffin appliques hadn‘t applied. Also there was applied rehabilitation program: physiotherapy, physical therapy and occupational therapy. Occupational therapy program included active or passive hands exercises and these devices: „bend“, „sticks“, „easel“, „tubing“. The individual procedures of occupational therapy were applied 8 times, every 30 minutes depending on patient’s physical possibilities. Paraffin appliques were applied 8 times too, duration of the procedure 15-20 minutes. Hand function was estimated using Sollerman’s Grips test and the degree of spasticity was estimated by Ashworth’s spasticity scale.

Outcomes: patient’s after stroke hand muscules tone statistically reliably reduced after occupational therapy procedures (p < 0,05). Hand grip function improved after occupational therapy procedures for patients after stroke. Warmth procedures (paraffin appliqués) statistically reliably had influence to hand muscules tone reduction for patients after stroke (p < 0,05).


Keyword(s): occupational therapy, rehabilitation, paraffin, stroke, muscle tone
DOI: 10.5200/1
Full TextPDF