ORIGINAL ARTICLE |
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Year : 2018 | Volume
: 7
| Issue : 4 | Page : 217-221 |
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Stroke upper extremity rehabilitation: Effect of bilateral arm training
Damayanti Sethy1, Surjeet Sahoo2, Eva S Kujur1, Pankaj Bajpai1
1 Department of Occupational Therapy, National Institute for Locomotor Disabilities, Kolkata, West Bengal, India 2 Department of Psychiatry, IMS and SUM Hospital, Siksha O Anusandhan University, Bhubaneswar, Odisha, India
Correspondence Address:
Ms. Damayanti Sethy Department of Occupational Therapy, National Institute for Locomotor Disabilities, BT Road, Bonhoogly, Kolkata - 700 090, West Bengal India
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/ijhas.IJHAS_125_17
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OBJECTIVES: The main objective of this study is to investigate the effect of bilateral arm training on upper extremity motor and functional recovery in stroke hemiparesis.
METHODOLOGY: Twenty-eight patients with chronic stroke, attending the Department of Occupational Therapy, National Institute for the locomotor disabilities, Kolkata, West Bengal, India, participated in a single-blinded randomized pretest and posttest control group experimental study. Patients were randomized over two intervention groups; experimental group received bilateral arm training (n = 14) and the control group received an equally intensive conventional treatment program (n = 14). Each group received intensive training for 1 h/day, 5 days/week, and for 6 weeks. Pretreatment and posttreatment measurements were taken for upper extremity motor ability, functional ability, and functional use of the upper extremity using Fugl-Meyer Assessment of Physical performance (FMA-upper extremity section), Action Research Arm Test, and Motor Activity Log, respectively.
RESULTS: Bilateral arm training (P = 0.01) group showed statistically significant improvement in upper extremity functioning on Action Research Arm Test score in comparison to the conventional therapy group (P = 0.33). The bilateral arm training group also had greater improvements in FMA and Motor Activity Log score compared to conventional therapy group.
CONCLUSION: Bilateral arm training can be used as a better treatment choice for improving upper extremity function in comparison to conventional therapy.
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