4 International Journal of Yoga, Physiotherapy and Physical Education www.sportsjournal.in ISSN: 2456-5067 Received: 03-11-2021, Accepted: 19-11-2021, Published: 04-12-2021 Volume 6, Issue 6, 2021, Page No. 4-6 A study on effectiveness of therapeutic hand exercises in improving handwriting and speed for post stroke peripheral dysgraphia [Writing Disability] G Srinivasan 1 , N N Bobby 2 1 Consultant Physiotherapist, Neuro One Hospital, Trichy, Tamil Nadu, India 2 Associate Professor, Thanthai Roever College of Physiotherapy, Perambalur, Trichy, Tamil Nadu, India Abstract Introduction: The main “language center” resides in the left hemisphere of the brain, when this part of the brain is damaged by a stroke, verbal and written communication skills are diminished. Therapeutic hand writing exercises for stroke patients can help improve dysgraphia by retraining fine motor skills and cognitive functions. Aim: The aim of the study is to evaluate the effectiveness of hand therapy in improving handwriting and speed for post stroke peripheral Dysgraphia (writing disability) Objective: To evaluate the effectiveness of hand therapy in improving speed for post stroke peripheral Dysgraphia by using word per minute test. To evaluate the effectiveness of hand therapy in improving handwriting for post stroke peripheral Dysgraphia by using Handwriting Legibility Scale Method: Present study is a pre and post experimental study, involving 10 post stroke subjects with writing disability, age between 40-50yrs. An interventional program of hand exercises are given to the subject for 30mints in a day for 5days per week.As a baseline measure word per minute test and handwriting legibility scale is assessed and reassessed after 3 months. Result: The showed a significant improvement in handwriting after the application of hand therapy. Conclusion: The study concluded that hand therapy are effective in improving handwriting and speed for post stroke peripheral Dysgraphia. Keywords: dysgraphia; word per minute test; hand writing legibility scale Introduction A stroke is defined as the sudden death of brain cells due to lack of oxygen caused by blockage of blood flow [ischemic- reduces the blood supply] or rupture of on artery to the brain [hemorrhagic-bleeding inside the brain]. The main “language center” resides in the left hemisphere of the brain [frontal lobe-cingulate cortex], when this part of the brain is damaged by a stroke, verbal and written communication skills are diminished or eliminated altogether. The inability to write after a stroke is called dysgraphia.It’s primarily caused by impaired motor control in the hand [peripheral dysgraphia] or disrupted language processing skills [central dysgraphia]. Signs and symptoms may includes  Poor or illegible handwriting  Incorrect capitalization  Omitting words from sentences  Slow writing speed  Fatigue after writing short pieces  Inappropriate letter sizing  Inappropriate letter spacing  Unusual position of the body or hands when writing  Saying words aloud when writing them down  Watching the hands while writing  Tight or unusual pen grip Therapeutic hand exercises for stroke patients can help improve dysgraphia by retraining fine motor skills and cognitive functions. The essential tools used for this study was words per minute test and handwriting legibility scale Need For the Study After stroke, writing ability is diminished or eliminated due to damage of “language center” resides in the left hemisphere of the brain [frontal lobe-cingulate cortex]. There is a need for regains the writing ability under this age groups [between 40-50yrs of age].Because these people are mostly workers for their family and to improves the quality of life. And also there must be doing mostly hand involvement works like system workers, IT professionals, bank employment officers, teachers, clerks and receptionists etc. This study is conducted to improve the handwriting of post stroke patients to improve their handwriting and to return their working environment. Aim The aim of the study is to evaluate the effectiveness of hand therapy in improving handwriting and speed for post stroke peripheral dysgraphia (writing disability) Objective  To evaluate the effectiveness of hand therapy in improving speed for post stroke peripheral dysgraphia by using word per minute test.  To evaluate the effectiveness of hand therapy in improving handwriting for post stroke peripheral dysgraphia by using Handwriting Legibility Scale