Background: Stroke patients with hemiparesis often exhibit impaired ambulation function, balance confidence and asymmetrical weight distribution leading to ambulation dysfunction. This study was designed to compare the effects of Combined Modified Constraint-Induced Movement Therapy (CIMT) upper and lower limbs (CO) with Modified CIMT Lower Limb (LL) and Modified CIMT Upper Limb (UL) on functional ambulation of stroke patients. Materials and Methods: This single-blind randomised controlled trial comprised forty-six stroke patients that were randomly assigned to 3 groups: CO, n=16; LL, n=15; and UL, n=15. The CO group had combined upper and lower limbs CIMT, while the LL group had lower limb CIMT only and the UL group had upper limb CIMT only. These treatments were administared in the Out-patient Physiotherapy clinic for two hours daily, five times per week for four consecutive weeks. Outcome measures were F Lower Limb Motor Activity Log, Balance Confidence Scale, Gait velocity and procedures for determining Weight Asymmetry Ratio. The assessments were done at baseline, ends of weeks two and four. Data were analysed using ANOVA with post-hoc, Kruskal-Wallis with post-hoc and Wilcoxon Signed Rank at ? 0.05. Results: The findings from the three groups’ revealed better lower limb use (LLU) and confidence balance (CB) scores compared to the baseline scores. Between-group comparisons showed that the differences were highly significant in the LL group compared to the CO and the UL groups (P>0.05). Conclusion: The Modified Lower limb CIMT has more therapeutic effects on the rehabilitation of functional ambulation of stroke patients.

Keywords: Stroke; Cconstraint-induced movement therapy; Lower Limb; Functional Ambulation; Weight asymmetry; Balance confidence; Gait speed.