Comparison of Bilateral and Unilateral Training for Upper Extremity Hemiparesis in Stroke

Stoykov, Mary Ellen; Lewis, Gwyn N.; Corcos, Daniel M.

doi:10.1177/1545968309338190

Cited by 103 publications

(67 citation statements)

References 54 publications

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“…This was similar to that reported in one of the studies in the past [64]. Through this study, authors conclude that bilateral training is better than unilateral training in chronic stroke survivors.…”

Section: Discussionsupporting

confidence: 80%

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

Syed¹,

Biswas²,

Hanifa³

et al. 2015

Int J Neurorehabilitation Eng

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Section: Discussionsupporting

confidence: 80%

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

Syed¹,

Biswas²,

Hanifa³

et al. 2015

Int J Neurorehabilitation Eng

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“…This is agreed by [25][26][27]. When the impaired and non-impaired hands are moved symmetrically, crossed facilitatory drive from the intact hemisphere will produce increased excitability in homologous motor pathways in the impaired hand.…”

Section: Discussionsupporting

confidence: 66%

Effect of Weighted Hand Movements on Hand Function in Chronic Stroke Patients

Zakaria¹,

Ragab²,

Ali³

2017

IJPR

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Background: Hand dysfunction is a common problem of stroke patients and it is the main cause of impairment of the upper limb. Finding new method to improve hand performance will decrease the disability of chronic stroke patients.Aim of the study: to study the effect of bilateral hand training with weight on the non paretic hand on the hand performance and time of performance in chronic stroke patients. Materials and Methods:Thirty left chronic stroke patients participated in this study. The patients were assigned randomly into two equal groups. Group one (G1) received unilateral hand training and group two (G2) received bilateral hand training with weight on non affected hand. Both groups assessed two times before starting training program and after two months of training by Fugl meyer assessment scale, Wolf motor function test and hand dynamometer for the motor performance, time of performance and hand grip respectively.Results: the patients in G2 showed significant improvement in the hand performance (P<.0001) and significant decrease in the time of performance (P<.001) and also significant improvement of hand grip (P<.0001). Conclusion:Bilateral hand movement with weight on the non affected hand has a significant effect on improving hand performance and decreasing the time of performance and increasing hand grip than unilateral hand movement.

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“…Given 24 hours of unilateral or bilateral practice, stroke subjects produced improved motor performances for both groups, as well as proximal arm benefits for the bilateral group. 7 Further, 30 hours of variable practice bilateral arm movement rehabilitation to chronic stroke patients resulted in a higher number of blocks moved and more consistency in a sustained force production task than a control group. 6 These findings along with the current results are further evidence supporting the viability of movement based-learning in progress toward motor recovery of chronic stroke patients.…”

Section: Discussionmentioning

confidence: 98%

Long-term rehabilitation for chronic stroke arm movements: a randomized controlled trial

et al. 2011

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Comparison of Bilateral and Unilateral Training for Upper Extremity Hemiparesis in Stroke

Abstract: Both bilateral and unilateral training are efficacious for moderately impaired chronic stroke survivors. Bilateral training may be more advantageous for proximal arm function.

Cited by 103 publications

References 54 publications

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

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

Effect of Weighted Hand Movements on Hand Function in Chronic Stroke Patients

Long-term rehabilitation for chronic stroke arm movements: a randomized controlled trial

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