International Journal of Health Sciences & Research (www.ijhsr.org) 188 Vol.9; Issue: 8; August 2019 International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Concept of Hand-In-Hand Therapy Approach on Functional Outcome and Psychological Status in Stroke Survivors Prathama Anil Bhosale 1 , Dr. G Varadharajulu 2 1 MPTh Student, Krishna Institute of Medical Sciences Deemed to be University, Faculty of Physiotherapy, Karad-415110, Satara, Maharashtra. 2 Dean/ Professor/ HOD, Department of Neuro Physiotherapy Krishna Institute of Medical Sciences, Faculty of Physiotherapy, Karad-415110. Corresponding Author: Dr. G Varadharajulu ABSTRACT Background cerebrovascular accident [CVA]) is the sudden loss of neurological function caused by an interruption of the blood flow to the brain. [1] CVA also referred to as stroke is the third cause of death in the world. Objective: To evaluate and study the concept of Hand in Hand therapy Approach on functional outcome and psychological status in stroke survivors. Methods: Ethical clearance was obtained from Institutional Ethical Committee, KIMSDU, Karad. 35 subjects were selected and were divided into two groups. Group A: Conventional program with Functional training and Recreational activity without caregiver Group B: Conventional program with Functional training and Recreational activity with Caregiver. Results: Statistical test was performed using paired test and unpaired test. Functional Independence Measure Scale -Post training between Group A and Group B following results were seen extremely significance(p value 0.0001) Patient health questioner 2– Post training between Group A and Group B following results were seen extremely significance(p value 0.0001) Patient health questioner 9 Post training between Group A and Group B following results were seen extremely significance(p value 0.0001) Perceived stress scale 10 Post training between Group A and Group B following results were seen extremely significance(p value 0.0001) . Conclusion: The present study concluded that there is a significant effect of Concept of hand-in-hand therapy approach on functional outcome and psychological status in stroke survivors Keywords: Stroke, Post stroke depression, Functional Independence Measure Scale, Patient Health Questioner 2 and 9, Perceived Stressed Scale 10. INTRODUCTION Definition Cerebrovascular accident [CVA]) is the sudden loss of neurological function caused by an interruption of the blood flow to the brain. [1] CVA also referred to as stroke is the third cause of death in the world. Stoke is Sudden loss of neurological function caused by an interruption of the blood flow to brain. [2] Ischemic stroke is the most common type, affecting 80% of individuals with stroke, and results when a clot blocks or impairs blood flow, depriving the brain of essential oxygen and nutrients. Haemorrhagic stroke Occurs when blood vessels rupture, causing leakage of blood in or around the brain. The term CVA is used interchangeably with stroke to refer to vascular condition of the brain. Clinically variety of focal deficits are possible