Department of Physical Therapy, Shifa Tameer e Millat University, Islamabad, Pakistan.
Bournemouth University, United Kingdom.
J Pak Med Assoc. 2021 Jan;71(1(B)):302-305. doi: 10.47391/JPMA.593.
This experimental study on 24 stroke patients aimed at evaluating and comparing the effects of bilateral arm training on upper extremity (UE) motor function between right and left hemispheric chronic stroke patients.
Both groups received the same intervention involving 5 functional tasks for 1 hour, 3 days per week, for a total of 6 weeks. Fugl-Meyer Assessment-Upper Extremity and Wolf-Motor Function Test were applied as outcome measures at baseline and after 6 weeks of training to assess the recovery of function in the affected area.
Intra-group analysis showed no significant improvement in the wrist and hand function in the left hemispheric stroke (LHS) (p>0.05), while right hemispheric stroke (RHS) patients did not improve significantly in the coordination/speed domain (p>0.05). Inter-group analysis showed no significant difference between right and left hemispheric stroke patients (p>0.05).
Bilateral arm training showed beneficial effects in improving UE function in both RHS and LHS patients. Distal UE function in LHS and coordination and speed of movement in RHS patients did not show any significant improvement.
本实验研究纳入 24 例脑卒中患者，旨在评估和比较双侧手臂训练对右侧和左侧大脑半球慢性脑卒中患者上肢（UE）运动功能的影响。
两组患者均接受相同的干预措施，包括 5 项针对 UE 的功能任务，每次 1 小时，每周 3 天，共 6 周。在基线和 6 周训练后分别采用 Fugl-Meyer 上肢评估和 Wolf 运动功能测试作为评估指标，以评估患侧功能的恢复情况。
组内分析显示，左侧大脑半球卒中（LHS）患者腕关节和手部功能无显著改善（p＞0.05），而右侧大脑半球卒中（RHS）患者在协调性/速度域方面无显著改善（p＞0.05）。组间分析显示，右侧和左侧大脑半球卒中患者之间无显著差异（p＞0.05）。
双侧手臂训练对 RHS 和 LHS 患者 UE 功能的改善均有有益作用。LHS 患者的远端 UE 功能和 RHS 患者的运动协调性和速度无明显改善。
