Effect of motor relearning program on the upper limb function in stroke survivors: A systematic review


  • Dr. Sumayya Shaikh (PT) Associate Professor




motor relearning program, upper limb function, stroke



Problems with upper limb impairments are very common after a stroke. Improving arm function is a core element of rehabilitation. Many physiotherapy interventions have been developed some of which has have found to be beneficial.



To analyze the effect of motor relearning program (MRP) on the upper limb function in stroke survivors.


Data sources

This systematic review included Randomized Controlled Trials (RCTs) and quasi-experimental studies for patients suffering from stroke. The articles were retrieved from

Google Scholar, Cochrane and Pub Med. Articles were also accessed from Journals.


Study selection

Data belonging from 2012 to 2021 were included. RCTs and quasi experimental studies that focused on motor relearning program for upper limb/hand for stroke patients were included in this review.



Total 10 studies were included in this review with 339 patients. Among them, 217 had received MRP whereas, 122 had received other physiotherapy treatment technique for stroke rehabilitation.



 MRP given alone or in conjunction with other physiotherapeutic treatment is likely to yield beneficial results for improving the upper limb /hand function in stroke patients.


Author Biography

Dr. Sumayya Shaikh (PT), Associate Professor

Associate Professor, Department of Neurosciences, M. A. Rangoonwala College of Physiotherapy, Pune Maharashtra


Jones, Stephanie P et al. “Stroke in India: A systematic review of the incidence, prevalence, and case fatality.” International journal of stroke : official journal of the International Stroke Society, 17474930211027834. 2 Jul. 2021, doi:10.1177/17474930211027834.

Pollock A, Farmer SE, Brady MC, Langhorne P, Mead GE, Mehrholz J, van Wijck F. Interventions for improving upper limb function after stroke. Cochrane Database of Systematic Reviews 2014, Issue 11. Art. No.: CD010820. DOI: 10.1002/14651858.CD010820.

Raghavan P. Upper Limb Motor Impairment After Stroke. Phys Med Rehabil Clin N Am. 2015;26(4):599-610. doi:10.1016/j.pmr.2015.06.008.

Poltawski L, Allison R, Briscoe S, et al. Assessing the impact of upper limb disability following stroke: a qualitative enquiry using internet-based personal accounts of stroke survivors. Disabil Rehabil. 2016;38(10):945-951. doi:10.3109/09638288.2015.1068383.

Ashburn, Ann. “Book Reviews?: Carr J and Shepherd R 1987: A Motor Relearning Programme for Stroke (Second Edition). London: William Heinemann Medical Books. 208pp. Clinical Rehabilitation, vol. 2, no. 1, Feb. 1988, pp. 82–83, doi:10.1177/026921558800200116.

Jan, S., Arsh, A., Darain, H., & Gul, S. (2019). A randomized control trial comparing the effects of motor relearning programme and mirror therapy for improving upper limb motor functions in stroke patients. JPMA. The Journal of the Pakistan Medical Association, 69(9), 1242–1245.

Lerma Castaño, P. R., Rodríguez Laiseca, Y. A., Montealegre Suárez, D. P., Castrillón Papamija, D. B., & Losada Urriago, G. E. (2020). Effects of kinesiotaping combined with the motor relearning method on upper limb motor function in adults with hemiparesis after stroke. Journal of bodywork and movement therapies, 24(4), 546–553. https://doi.org/10.1016/j.jbmt.2020.07.003

El-Bahrawy, Mohamed & El-wishy, Abeer. (2012). Efficacy of motor relearning approach on hand function in chronic stroke patients: A controlled randomized study. Italian Journal of Physiotherapy. 2. 121-127.

Batool, S., Soomro, N., Amjad, F., & Fauz, R. (2015). To compare the effectiveness of constraint induced movement therapy versus motor relearning programme to improve motor function of hemiplegic upper extremity after stroke. Pakistan journal of medical sciences, 31(5), 1167–1171. https://doi.org/10.12669/pjms.315.7910

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. 2020 Nov-Dec;36(7):1613-1617. doi: 10.12669/pjms.36.7.2351. PMID: 33235584; PMCID: PMC7674909.

Pandian, S., Arya, K. N., & Davidson, E. (2012). Comparison of Brunnstrom movement therapy and Motor Relearning Program in rehabilitation of post-stroke hemiparetic hand: a randomized trial. Journal of bodywork and movement therapies, 16(3), 330–337. https://doi.org/10.1016/j.jbmt.2011.11.002

.Rehani P, Kumari R, Divya Midha. Effectiveness of motor relearning programme and mirror therapy on hand functions in patients with stroke-a randomized clinical trial. IJTRR.


Paul , J (2014) Comparative study on the effect of task oriented motor relearning program and thermal stimulation over upper limb motor function among stroke subjects. International Journal of Physiotherapy, 1(4), 227-232. https://doi.org/10.15621/ijphy/2014/v1i4/54565

Rauf R, Rashad A, Noreen A. et al (2021). Comparison of mirror therapy and motor relearning program in improving the upper limb motor function of patients with stroke. PAFMJ, 71(4), 1364-67. https://doi.org/10.51253/pafmj.v71i4.6249




How to Cite

Shaikh (PT), D. S. (2022). Effect of motor relearning program on the upper limb function in stroke survivors: A systematic review. VIMS JOURNAL OF PHYSICAL THERAPY, 4(1), 3–9. https://doi.org/10.46858/VIMSJPT.4102