Comparison of bilateral and unilateral upper limb training in people with stroke: A systematic review and meta-analysis

Autor: Pei Ming Chen, Patrick W.H. Kwong, Claudia K.Y. Lai, Shamay S.M. Ng
Jazyk: angličtina
Rok vydání: 2019
Předmět:
030506 rehabilitation
Cochrane Library
Vascular Medicine
law.invention
0302 clinical medicine
Mathematical and Statistical Techniques
Randomized controlled trial
law
Medicine and Health Sciences
Medicine
Public and Occupational Health
Biomechanics
Functional ability
Stroke
Musculoskeletal System
Multidisciplinary
Hand Strength
Statistics
Stroke Rehabilitation
Metaanalysis
Research Assessment
Sports Science
Exercise Therapy
Arms
medicine.anatomical_structure
Neurology
Meta-analysis
Physical Sciences
Strength Training
Upper limb
Anatomy
0305 other medical science
Research Article
medicine.medical_specialty
Systematic Reviews
Strength training
Cerebrovascular Diseases
Science
Research and Analysis Methods
Upper Extremity
03 medical and health sciences
Physical medicine and rehabilitation
Complementary and Alternative Medicine
Humans
Statistical Methods
Sports and Exercise Medicine
Exercise
Physical Therapy Modalities
business.industry
Teaching
Biology and Life Sciences
Physical Activity
Recovery of Function
medicine.disease
Confidence interval
Physical Fitness
Body Limbs
Psychomotor Disorders
business
030217 neurology & neurosurgery
Mathematics
Zdroj: PLoS ONE, Vol 14, Iss 5, p e0216357 (2019)
PLoS ONE
ISSN: 1932-6203
Popis: Background and objectives Bilateral upper limb training (BULT) and unilateral upper limb training (UULT) are two effective strategies for the recovery of upper limb motor function after stroke. This meta-analysis aimed to compare the improvements in motor impairment and functional performances of people with stroke after BULT and UULT. Research design and methods This systematic review and meta-analysis identified 21 randomized controlled trials (RCTs) met the eligibility criteria from CINAHL, Medline, Embase, Cochrane Library and PubMed. The outcome measures were the Fugl-Meyer Assessment of Upper Extremity (FMA-UE), Wolf Motor Function Test (WMFT), Action Research Arm Test (ARAT) and Box and Block Test (BBT), which are validated measures of upper limb function. Results Twenty-one studies involving 842 subjects with stroke were included. Compared with UULT, BULT yielded a significantly greater mean difference (MD) in the FMA-UE (MD = 2.21, 95% Confidence Interval (CI), 0.12 to 4.30, p = 0.04; I2 = 86%, p
Databáze: OpenAIRE
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