Background: The objective of this study was to compare the impact of task oriented physical activity to improve hand motor control in stroke patients by comparing with motor learning and motor strategy. Methods: A total of 20 patients who are post-stroke patients suffered a left brain hemisphere were recruited for the study. The patients were divided into 2 groups: the experimental group consisted of 10 patients who underwent occupational therapy 5 times per week along with occupational therapy based on differential training 5 times per week and control group consisted of 10 patients without any occupational therapy. Results: In the experimental group the mean performance time of all tasks for wrist, hand and lift of toys improved significantly (p<5) and no decline in quality of arm function was observed. In control group, the mean performance time of five patients is not improved significantly (p<5) and the lift of toys and the quality of arm function was not significantly improved. Conclusions: In the both groups, the experimental group with interventional and occupational therapy sessions improved arm function and differential training based occupational therapy and counseling on joint movements exercise,inter-locking blocks therapy, using extension and flexion along with enhancing fingers dexterity. this approach is inexpensive and more effectively.
