Bilateral Versus Unilateral Upper Extremity Training on Upper Limb Motor Activity in Hemiplegia

Syed, Nafeez; Biswas, Abhisek; Hanifa, Nazia; Rv, Parameswaran; Sundaram, P Shanmuga

doi:10.4172/2376-0281.1000145

Cited by 3 publications

(3 citation statements)

References 57 publications

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“…After ischemic coronary heart disease, stroke is the most typical purpose of mortality global, having brought on round 5.7 million deaths in, of which greater than 80% took place in low and middle earnings countries (LMIC). In addition, estimates showed that there may be 62 million survivors of stroke global, many of whom are likely to be disabled, with up to a third living with severe disability (12).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Bilateral Task-Oriented Exercises and Mirror Therapy to Improve Hand Function in Hemiparetic Stroke

2021

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Background and Objectives: Stroke is a clinical syndrome consisting of rapidly developing clinical signs of focal disturbance of cerebral function lasting more than 24 hours or leading to death with no apparent cause other than a vascular origin.” Some evidence-based studies proved that bilateral task-oriented exercise and Mirror therapy are effective in improving the hand function in hemiparetic stroke patient. But there is no comparative study of these two protocols. Hence the purpose of this study is to compare the effectiveness of bilateral task-oriented exercises and Mirror therapy in improving hand function in hemiparetic stroke patient. Methods: A total of 67 subjects met selection criteria for the study among them 7 members are dropouts from group A and B and were divided into 2 groups, 30 members in group A (bilateral task-oriented exercises), 30 members in group B (Mirror therapy). Both groups performed intervention for 5 days per week, for 4 weeks. The outcomes were Fugl Meyer and Motor Activity Log for measuring functional disabilities. Results: Paired “T” test was used to access the statistical significance within the groups. Statistical analysis between two groups using independent “t” test revealed that there is no significant difference between Bilateral task-oriented exercises and Mirror therapy groups. Conclusion: In this study, 4 weeks of bilateral task-oriented exercises and Mirror therapy showed that both approaches are equally effective in improving hand function in hemi paretic stroke. Keywords: Hemiparetic stroke, Bilateral task-oriented exercises, Mirror therapy, Motor activity log, Fugl Meyer.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Bilateral Task-Oriented Exercises and Mirror Therapy to Improve Hand Function in Hemiparetic Stroke

2021

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“…Both bilateral and unilateral functioning should be measured for patients with stroke because movement pattern and neurological improvement vary based on stroke type. For instance, unilateral upper extremity function emphasizes using the nonparetic or paretic limb, thereby emphasizing neural effects of the ipsilateral or contralateral hemisphere, specifically (Syed et al, 2015). In contrast, bilateral upper extremity function encourages the simultaneous use of the limbs on both the affected and nonaffected sides, which requires enhanced interhemispheric coupling and neural cross-talk (Syed et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…For instance, unilateral upper extremity function emphasizes using the nonparetic or paretic limb, thereby emphasizing neural effects of the ipsilateral or contralateral hemisphere, specifically (Syed et al, 2015). In contrast, bilateral upper extremity function encourages the simultaneous use of the limbs on both the affected and nonaffected sides, which requires enhanced interhemispheric coupling and neural cross-talk (Syed et al, 2015). Thus, it is important to precisely measure residual bilateral upper extremity functions to establish tailored treatment plans for patients with stroke.…”

Section: Introductionmentioning

confidence: 99%

Validation of Yonsei-Bilateral Activity Test (Y-BAT)-Bilateral Upper Extremity Inventory Using Rasch Analysis

Lee

Hong

Park

et al. 2020

OTJR: Occupation, Participation and Health

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There is little assessment to provide specific information about quality of bilateral upper extremity movement specifically. This study examined the psychometric properties of the Yonsei-Bilateral Activity Test (Y-BAT). An observational cross-sectional design was used with 100 stroke survivors. Unidimensionality was examined using factor analyses, and Rasch analysis was used to test rating scale structure, fit statistics, and precision of the Y-BAT. The Y-BAT demonstrated a unidimensional measurement construct, and 19 of the 27 items fit the Rasch model. The instrument demonstrated good precision, including person reliability and person strata. The Y-BAT estimated person measures within a wide range of theta values with a reliability of .9 with good precision. Our results indicate that a revised, 19-item version of the Y-BAT demonstrates sound internal validity and may be a useful instrument for clinicians to measure upper extremity function with good precision following stroke.

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A Comparative Study on Bilateral and Unilateral Task Oriented Exercises for Improving Upper Extremity Motor Function in Post-Stroke Subjects with Learned Nonuse Phenomenon

Tanavarapu

Prakash

Thulasi

et al. 2019

Ind. Jour. of Publ. Health Rese. & Develop.

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Bilateral Versus Unilateral Upper Extremity Training on Upper Limb Motor Activity in Hemiplegia

Cited by 3 publications

References 57 publications

Effectiveness of Bilateral Task-Oriented Exercises and Mirror Therapy to Improve Hand Function in Hemiparetic Stroke

Effectiveness of Bilateral Task-Oriented Exercises and Mirror Therapy to Improve Hand Function in Hemiparetic Stroke

Validation of Yonsei-Bilateral Activity Test (Y-BAT)-Bilateral Upper Extremity Inventory Using Rasch Analysis

A Comparative Study on Bilateral and Unilateral Task Oriented Exercises for Improving Upper Extremity Motor Function in Post-Stroke Subjects with Learned Nonuse Phenomenon

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