Unilateral versus bilateral upper limb training after stroke: the ULTRA-Stroke clinical trial

Autor: van Delden, A.E.Q., Peper, C.E., Nienhuys, K., Zijp, N.I., Beek, P.J., Kwakkel, G.
Přispěvatelé: MOVE Research Institute, Rehabilitation medicine, Movement Behavior, Research Institute MOVE
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: van Delden, A E Q, Peper, C E, Nienhuys, K, Zijp, N I, Beek, P J & Kwakkel, G 2013, ' Unilateral versus bilateral upper limb training after stroke: the ULTRA-Stroke clinical trial ', Stroke, vol. 44, no. 9, pp. 2613-2616 . https://doi.org/10.1161/STROKEAHA.113.001969
Stroke, 44(9), 2613-2616. Lippincott Williams and Wilkins
ISSN: 0039-2499
DOI: 10.1161/STROKEAHA.113.001969
Popis: Background and Purpose - Unilateral and bilateral training protocols for upper limb rehabilitation after stroke represent conceptually contrasting approaches with the same ultimate goal. In a randomized controlled trial, we compared the merits of modified constraint-induced movement therapy, modified bilateral arm training with rhythmic auditory cueing, and a dose-matched conventional treatment. Modified constraint-induced movement therapy and modified bilateral arm training with rhythmic auditory cueing targeted wrist and finger extensors, given their importance for functional recovery. We hypothesized that modified constraint-induced movement therapy and modified bilateral arm training with rhythmic auditory cueing are superior to dose-matched conventional treatment. Methods - Sixty patients, between 1 to 6 months after stroke, were randomized over 3 intervention groups. The primary outcome measure was the Action Research Arm test, which was conducted before, directly after, and 6 weeks after intervention. Results - Although all groups demonstrated significant improvement on the Action Research Arm test after intervention, which persisted at 6 weeks follow-up, no significant differences in change scores on the Action Research Arm test were found between groups postintervention and at follow-up. Conclusions - Modified constraint-induced movement therapy and modified bilateral arm training with rhythmic auditory cueing are not superior to dose-matched conventional treatment or each other in improving upper limb motor function 1 to 6 months after stroke. © 2013 American Heart Association, Inc.
Databáze: OpenAIRE
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