Deans' stroke musings: Unilateral versus bilateral upper limb exercise therapy after stroke: A systematic review

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, October 15, 2019

Unilateral versus bilateral upper limb exercise therapy after stroke: A systematic review

Useless. They don't tell us the success rate or the protocols used.

Unilateral versus bilateral upper limb exercise therapy after stroke: A systematic review

© 2012 The Authors. doi: 10.2340/16501977-0928Journal Compilation © 2012 Foundation of Rehabilitation Information. ISSN 1650-1977
J Rehabil Med 44
REVIEW ARTICLE
J Rehabil Med
Objective:
To compare the effects of unilateral and bilateral training on upper limb function after stroke with regard to two key factors: severity of upper limb paresis and time of intervention post-stroke.
Design:
Systematic review and meta-analysis of randomized controlled trials.
Methods:
Two authors independently selected trials for inclusion, assessed the methodological quality and extracted data. Study outcomes were pooled by calculating the (standardized) mean difference ((S)MD). Sensitivity analyses for severity and time of intervention post-stroke were applied when possible.
Results:
All 9 studies involving 452 patients showed homogeneity. In chronic patients with a mild upper limb paresis
after stroke a marginally significant SMD for upper limb activity performance (SMD 0.34; 95% confidence interval): 0.04–0.63), and marginally significant MDs for perceived
upper limb activity performance (amount of use: MD 0.42; 95% confidence interval: 0.09–0.76, and quality of movement: MD 0.45; 95% confidence interval: 0.12–0.78) were
found in favour of unilateral training. All other MDs and SMDs were nonsignificant.
Conclusion:
Unilateral and bilateral training are similarly effective. However, intervention success may depend on severity of upper limb paresis and time of intervention post-stroke.
Key words:
rehabilitation; stroke; upper limb; systematic re-view; CIMT; bilateral arm training.J Rehabil Med 2011; 00: 00–00
Correspondence address: Lex van Delden, Faculty of Hu-man Movement Sciences; VU University Amsterdam; Van der Boechorststraat 9; NL-1081 BT Amsterdam, The Netherlands. E-mail: l.van.delden@vu.nl
Submitted July 13, 2011; accepted October 31, 2011