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| Effects of bilateral training on motor function, amount of activity and activity intensity measured with an accelerometer of patients with stroke |
| Shim S, Jung J |
| Journal of Physical Therapy Science 2015 Mar;27(3):751-754 |
| clinical trial |
| 4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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PURPOSE: This study investigated the recovery of arm function and the functional use of the affected limb in real life of stroke patients after bilateral arm training. SUBJECTS: Twenty patients with stroke were randomly allocated to the BT (bilateral training group, n = 10) and UT (unilateral training group, n = 10) groups. METHODS: The BT group performed functional tasks with both hand symmetrically, the UT group performed tasks with only the affected hand for 30 minutes a session 5 times a week over 6 weeks. Before and after the intervention, accelerometers (Actisleep), functional independence measure (FIM) and manual function test (MFT) were used to assess subjects' abilities. RESULTS: The BT group showed a significant improvement in FIM total score, motor subtotal score and MFT score of affected side compared to the UT group. The BT group showed a more quantitative increase in the amount of activity of the affected side than the UT group. Regarding activity intensity, the BT group showed a decrease in the sedentary level and an increase of the moderate level on the affected side compared to the UT group. CONCLUSION: We found that programs tailored to the characteristics of stroke patients and continuous monitoring of physical activity using an accelerometer minimized possible future disability and improved the patients' quality of life.
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