This study was conducted in 4-year-old male child in sub-acute stage of Guillain Barre Syndrome (GBS) for 12 weeks in a local clinical setup after discharge from the hospital completing IVIG dose. Physiotherapy was given for 12 weeks, 5 days in a week of 1 and half hour session per day with rest periods between the session. Physiotherapy intervention includes passive – active exercise, resisted exercise, weight bearing exercise, mat activities, breathing exercises, task-oriented exercise, balance and coordination exercise, abdominal strengthening, gait training, and play activities. Outcomes used before and after the intervention were Manual Muscle Test (MMT), Five Times Sit to Stand Test (FTSST), Functional independent Measure (FIM), Time Up and Go test (TUG) and Hand dynamometer to analyse the effects of physiotherapy intervention. This study concluded that there was a significant improvement in patient’s motor functions and independence in daily activities after an effective physiotherapy treatment. There was a complete motor recovery after 12 weeks of physiotherapy.

Introduction and Aim: The objective of the study is to improve upper limb function in patients with acute stroke using graded repetitive arm supplementary program (GRASP) and virtual reality. Stroke is described as an sudden neurological outburst brought on by impeded blood flow via the brain’s blood vessels. Stroke has an annual mortality rate of 5.5 million which is the 2nd leading cause of mortality. Materials and Methods: Fourteen patients were randomly split into two groups, Group A and Group B in A.C.S Medical College and Hospital. Inclusion criteria were persons with first ever acute stroke confirmed by CT or MRI, modified Ashworth scale less than 2, Fugl- Meyer score between 10 to 57, age > 18, both genders, eager participants who are willing volunteers for the study. Exclusion criteria were who were mentally unstable, other neurological conditions, any orthopaedic conditions, modified Ashworth scale more than 2, Fugl Meyer score less than 10 or more than 57, age group < 18, patients with TIA were excluded. Group A trained with GRASP program. Group B trained with virtual reality. Both groups consist of 7 patients and training given for 8 weeks, 60 minutes per day for 6 days a week. Results: This study demonstrates a statistically significant difference between group A and group B in the hand-held dynamometer, Fugl-Meyer evaluation upper extremity, action research arm test, and EMG with a p value of 0.001. However, when compared to group B, group A exhibits greater relevance across the board. Conclusion: The study concludes that graded repetitive arm supplementary programme in acute stroke patients demonstrates good recovery in upper limb function.