Effects of Bilateral Upper Limb Task Training on Upper Limb Function in Acute Stroke: A Randomized Controlled Trial

Easow, Ancy; Chippala, Purusotham

doi:10.5958/0973-5674.2019.00164.3

Cited by 2 publications

(1 citation statement)

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“…A total of 706 participants were included with an age range from 49.3 to 74.3 years (SD from 2.0 to 13.22). Seven studies recruited patients with limited motor capacity with a FMA-UE score mean from 33 to 43 (Desrosiers et al 2005 ; Dhakate & Bhattad 2020 ; Lum et al 2006 ; Meng et al 2017 ; Van Delden et al 2015 ) or ARAT score mean 30 and 26 (Brunner, Skouen & Strand 2012 ; Easow & Chippala 2019 ); three other studies had participants with no motor capacity with a FMA-UE score mean from 6.6 to 17 (Hesse et al 2005 ; Lee et al 2017 ; Renner, Brendel & Hummelsheim 2020 ); in three studies, patients had poor motor capacity (Hsieh et al 2017 ; Ma et al 2022 ; Morris et al 2008), and in one study, patients had notable capacity according to the aforementioned classification of severity above (Kumagai et al 2022 ).…”

Section: Resultsmentioning

confidence: 99%

Bilateral versus unilateral upper limb training in (sub)acute stroke: A systematic and meta-analysis

Dembele,

Tedesco Triccas,

Amanzonwé

et al. 2024

S. Afr. j. physiother.

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Background: Integrating high dosage bilateral movements to improve upper limb (UL) recovery after stroke is a rehabilitation strategy that could potentially improve bimanual activities.Objectives: This study aims to compare the effects of bilateral with unilateral UL training on upper limb impairments and functional independence in (sub)acute stroke.Method: Five electronic databases (PubMed, Scopus, PEDro, ScienceDirect, Web of Science) were systematically searched from inception to June 2023. Randomised controlled trials comparing the effect of bilateral training to unilateral training in stroke survivors ( 6 months poststroke) were included. The treatment effect was computed by the standard mean differences (SMDs).Results: The review included 14 studies involving 706 participants. Bilateral training yielded a significant improvement on UL impairments measured by FMA-UE compared to unilateral training (SMD = 0.48; 95% CI: 0.08 to 0.88; P = 0.02). In addition, subgroup analysis based on the severity of UL impairments reported significant results in favour of bilateral UL training in improving UL impairments compared to unilateral training in “no motor capacity” patients (SMD = 0.66; 95% CI: 0.16 to 1.15; P = 0.009). Furthermore, a significant difference was observed in favour of bilateral UL training compared to unilateral UL training on daily activities measured by Functional Independence Measure (SMD = 0.45; 0.13 to 0.78; P = 0.006).Conclusion: Bilateral UL training was superior to unilateral training in improving impairments measured by FMA-UE and functional independence in daily activities measured by Functional Independence Measure in (sub)acute stroke.Clinical implications: Bilateral upper limb training promotes recovery of impairments and daily activities in (sub)acute phase of stroke.

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Section: Resultsmentioning

confidence: 99%

Bilateral versus unilateral upper limb training in (sub)acute stroke: A systematic and meta-analysis

Dembele,

Tedesco Triccas,

Amanzonwé

et al. 2024

S. Afr. j. physiother.

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A biomedical decision support system for meta-analysis of bilateral upper-limb training in stroke patients with hemiplegia

et al. 2023

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The purpose of this study is to investigate the efficacy of bilateral upper-limb training (BULT) in helping people with upper-limb impairments due to stroke or brain illness regain their previous level of function. Patients recuperating from a stroke or cerebral disease were given the option of undergoing BULT or conventional training to enhance their upper-limb function. Participants were randomly allocated to one of the several different fitness programs. Results from the action research arm test, Box and block test, Wolf motor function test, Fugal–Meyer evaluation, and any other tests administered were taken into account. Some researchers have found that exercising with BULT for just 30 min per day for 6 weeks yields significant results. There were a total of 1,411 individuals from 10 randomized controlled trials included in this meta-analysis. Meta-analysis findings revealed that biofeedback treatment outperformed conventional rehabilitation therapy in reducing lower leg muscular strain, complete spasm scale score, electromyography score, and inactive ankle joint range of motion. An analysis of the literature found that BULT improved limb use in people who had suffered a stroke and hemiplegia but it did not provide any additional benefit over unilateral training.

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Effects of Bilateral Upper Limb Task Training on Upper Limb Function in Acute Stroke: A Randomized Controlled Trial

Cited by 2 publications

References 0 publications

Bilateral versus unilateral upper limb training in (sub)acute stroke: A systematic and meta-analysis

Bilateral versus unilateral upper limb training in (sub)acute stroke: A systematic and meta-analysis

A biomedical decision support system for meta-analysis of bilateral upper-limb training in stroke patients with hemiplegia

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