Unilateral vs bilateral hybrid approaches for upper limb rehabilitation in chronic stroke: A randomized controlled trial

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Unilateral vs bilateral hybrid approaches for upper limb rehabilitation in chronic stroke: A randomized controlled trial

Archives of Physical Medicine and Rehabilitation , Volume 100(12) , Pgs. 2225-2232.

NARIC Accession Number: J82774.  What's this?
ISSN: 0003-9993.
Author(s): Hung, Chung-shan; Lin, Keh-chung; Chang, Wan-ying; Huang, Wen-chih; Chang, Ya-Ju; Chen, Chia-ling; Yao, Kaiping G.; Lee, Ya-yun.
Publication Year: 2019.
Number of Pages: 8.

Abstract: 

Study investigated the effects of unilateral hybrid therapy (UHT) and bilateral hybrid therapy (BHT) compared with robot-assisted therapy (RT) alone in patients with chronic stroke. UHT combined unilateral RT (URT) and modified constraint-induced therapy. BHT combined bilateral RT (BRT) and bilateral arm training. A single-blind, randomized controlled trial was conducted at four hospitals. Forty-four outpatients with chronic stroke and mild-to-moderate motor impairment were randomly allocated to the UHT, BHT, or RT groups. The RT group received URT and BRT. The intervention frequency for the 3 groups was 90 minutes a day, 3 days a week for 6 weeks. The Fugl-Meyer Assessment (FMA), divided into the proximal and distal subscale, and the Stroke Impact Scale (SIS) were administered before, immediately after, and 3 months after treatment. The Wolf Motor Function Test (WMFT) and Nottingham Extended Activities of Daily Living (NEADL) were assessed before and immediately after treatment. The results favored BHT over UHT on the FMA total score and distal score at the post test and follow-up assessment and BHT over RT on the follow-up FMA distal scores. At the post test assessment, the WMFT and SIS scores of the 3 groups improved significantly without between-group differences, and the RT group showed significantly greater improvement in the mobility domain of NEADL compared with the BHT group. BHT was more effective for improving upper-extremity motor function, particularly distal motor function at follow-up, and individuals in the RT group demonstrated improved functional ambulation post intervention.
Descriptor Terms: BODY MOVEMENT, INTERVENTION, LIMBS, MOTOR SKILLS, OCCUPATIONAL THERAPY, ROBOTICS, STROKE, THERAPEUTIC TRAINING.


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Citation: Hung, Chung-shan, Lin, Keh-chung, Chang, Wan-ying, Huang, Wen-chih, Chang, Ya-Ju, Chen, Chia-ling, Yao, Kaiping G., Lee, Ya-yun. (2019). Unilateral vs bilateral hybrid approaches for upper limb rehabilitation in chronic stroke: A randomized controlled trial.  Archives of Physical Medicine and Rehabilitation , 100(12), Pgs. 2225-2232. Retrieved 3/16/2020, from REHABDATA database.


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