Bilateral movement training and stroke rehabilitation: A systematic review and meta-analysis

Stewart, Kim C.; Cauraugh, James H.; Summers, Jeffery J.

doi:10.1016/j.jns.2006.01.005

Cited by 165 publications

(124 citation statements)

References 37 publications

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“…This review is limited to upper limb bilateral training. In a meta-analysis, Stewart et al (2006) found convincing evidence for the effi cacy of bilateral training.…”

Section: Introductionmentioning

confidence: 99%

A review of bilateral training for upper extremity hemiparesis

Stoykov

Corcos

2009

Occupation Therapy Intl

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“…This review is limited to upper limb bilateral training. In a meta-analysis, Stewart et al (2006) found convincing evidence for the effi cacy of bilateral training.…”

Section: Introductionmentioning

confidence: 99%

A review of bilateral training for upper extremity hemiparesis

Stoykov

Corcos

2009

Occupation Therapy Intl

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“…Evidence suggests that constraint-induced therapy (CIT) [3] and bilateral arm training (BAT) [4] improve function of the upper limb (UL) after stroke, but clinicians and researchers need to identify appropriate measures that have sound clinimetric properties (i.e., reliability, validity, and responsiveness) to determine the effects of UL training on dexterity of the paretic hand. Use of appropriate measures for outcome evaluations would enhance the methodologic quality of controlled trials in stroke rehabilitation research [5].…”

Section: Introductionmentioning

confidence: 99%

Responsiveness and validity of three dexterous function measures in stroke rehabilitation

Lin

Chuang²,

et al. 2010

JRRD

134

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Abstract-In this study, we compared the responsiveness and validity of the Box and Block Test (BBT), the Nine-Hole Peg Test (NHPT), and the Action Research Arm Test (ARAT). We randomized 59 patients with stroke into one of three rehabilitation treatments for 3 weeks. We administered six outcome measures (BBT, NHPT, ARAT, Fugl-Meyer Assessment [FMA], Motor Activity Log [MAL], and Stroke Impact Scale [SIS] hand function domain) pretreatment and posttreatment. We used the standardized response mean (SRM) to examine responsiveness and the Spearman rank correlation coefficient (rho) to examine concurrent validity. The BBT, NHPT, and ARAT were moderately responsive to change and not significantly different (SRM = 0.64-0.79). The correlations within the BBT, NHPT, and ARAT were moderate to good at pretreatment (rho = -0.55 to -0.80) and posttreatment (rho = -0.57 to -0.71). The BBT and ARAT showed fair to moderate correlations with the FMA, MAL, and SIS hand function domain at pretreatment and posttreatment (rho = 0.31-0.59), whereas the NHPT demonstrated low to fair correlations with the FMA and MAL (rho = -0.16 to -0.33) and moderate correlations with the SIS hand function domain (rho = -0.58 to -0.66). Our results indicate that the BBT, NHPT, and ARAT are suitable to detect changes over time. While simultaneously considering the responsiveness and validity attributes, the BBT and ARAT can be considered more appropriate for evaluating dexterous function than the NHPT. Further studies with larger samples are needed to validate these findings. Clinical

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“…Because no previous study has compared the effects of bilateral electrical stimulation with those of unilateral stimulation on lower‐limb motor function in this population, the estimation is based on a recent systematic review and meta‐analysis27 that showed a medium to large effect size (Cohen's d=0.73) for bilateral movement training in the improvement of upper‐limb motor function after stroke. We selected a more conservative effect size of 0.6 in our model, so the total sample size was estimated to be 72 subjects (36 per group) to detect significant between‐groups differences.…”

Section: Methodsmentioning

confidence: 99%

Bilateral Transcutaneous Electrical Nerve Stimulation Improves Lower‐Limb Motor Function in Subjects With Chronic Stroke: A Randomized Controlled Trial

Kwong

Chung

et al. 2018

JAHA

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BackgroundTranscutaneous electrical nerve stimulation (TENS) has been used to augment the efficacy of task‐oriented training (TOT) after stroke. Bilateral intervention approaches have also been shown to be effective in augmenting motor function after stroke. The purpose of this study was to compare the efficacy of bilateral TENS combined with TOT versus unilateral TENS combined with TOT in improving lower‐limb motor function in subjects with chronic stroke.Methods and ResultsEighty subjects were randomly assigned to bilateral TENS+TOT or to unilateral TENS+TOT and underwent 20 sessions of training over a 10‐week period. The outcome measures included the maximal strength of the lower‐limb muscles and the results of the Lower Extremity Motor Coordination Test, Berg Balance Scale, Step Test, and Timed Up and Go test. Each participant was assessed at baseline, after 10 and 20 sessions of training and 3 months after the cessation of training. The subjects in the bilateral TENS+TOT group showed greater improvement in paretic ankle dorsiflexion strength (β=1.32; P=0.032) and in the completion time for the Timed Up and Go test (β=−1.54; P=0.004) than those in the unilateral TENS+TOT group. However, there were no significant between‐group differences for other outcome measures.ConclusionsThe application of bilateral TENS over the common peroneal nerve combined with TOT was superior to the application of unilateral TENS combined with TOT in improving paretic ankle dorsiflexion strength after 10 sessions of training and in improving the completion time for the Timed Up and Go test after 20 sessions of training.Clinical Trial Registration URL: http://www.clinicaltrials.gov. Unique identifier: NCT02152813.

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Bilateral movement training and stroke rehabilitation: A systematic review and meta-analysis

Cited by 165 publications

References 37 publications

A review of bilateral training for upper extremity hemiparesis

A review of bilateral training for upper extremity hemiparesis

Responsiveness and validity of three dexterous function measures in stroke rehabilitation

Bilateral Transcutaneous Electrical Nerve Stimulation Improves Lower‐Limb Motor Function in Subjects With Chronic Stroke: A Randomized Controlled Trial

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