Jin Linna, Yang Zhe, Zou Zhaojun, Wu Tao, Pan Hongying
Department of Rehabilitation Medicine, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, No. 3, Qingchun East Road, Hangzhou, Zhejiang, 310020, China.
Department of Sleep Medicine, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, No. 3, Qingchun East Road, Hangzhou, Zhejiang, 310020, China.
Open Life Sci. 2023 Jul 27;18(1):20220607. doi: 10.1515/biol-2022-0607. eCollection 2023.
The purpose of this study is to investigate the efficacy of bilateral upper-limb training (BULT) in helping people with upper-limb impairments due to stroke or brain illness regain their previous level of function. Patients recuperating from a stroke or cerebral disease were given the option of undergoing BULT or conventional training to enhance their upper-limb function. Participants were randomly allocated to one of the several different fitness programs. Results from the action research arm test, Box and block test, Wolf motor function test, Fugal-Meyer evaluation, and any other tests administered were taken into account. Some researchers have found that exercising with BULT for just 30 min per day for 6 weeks yields significant results. There were a total of 1,411 individuals from 10 randomized controlled trials included in this meta-analysis. Meta-analysis findings revealed that biofeedback treatment outperformed conventional rehabilitation therapy in reducing lower leg muscular strain, complete spasm scale score, electromyography score, and inactive ankle joint range of motion. An analysis of the literature found that BULT improved limb use in people who had suffered a stroke and hemiplegia but it did not provide any additional benefit over unilateral training.
本研究的目的是调查双侧上肢训练（BULT）在帮助因中风或脑部疾病导致上肢功能障碍的人恢复其先前功能水平方面的疗效。从中风或脑部疾病中康复的患者可以选择接受BULT或传统训练以增强其上肢功能。参与者被随机分配到几种不同的健身计划中。考虑了行动研究臂测试、箱块测试、沃尔夫运动功能测试、 Fugl - Meyer评估以及所进行的任何其他测试的结果。一些研究人员发现，每天仅进行30分钟的BULT训练，持续6周，就能产生显著效果。本荟萃分析纳入了来自10项随机对照试验的总共1411名个体。荟萃分析结果显示，在减轻小腿肌肉劳损、完全痉挛量表评分、肌电图评分和非活动踝关节活动范围方面，生物反馈治疗优于传统康复治疗。文献分析发现，BULT改善了中风和偏瘫患者的肢体使用情况，但与单侧训练相比，它没有提供任何额外的益处。
