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Updated: Jul 13, 2026

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Cognitive Function and Upper Limb Rehabilitation Training Post-Stroke Using a Digital Occupational Training System
Published on: December 29, 2023
Bilateral arm training with rhythmic auditory cueing in chronic stroke: not always efficacious
Lorie G Richards1, Claudia R Senesac, Sandra B Davis
1Brain Rehabilitation Research Center, North Florida/ South Georgia Veterans Health System, Gainesville, Florida 32608-1197, USA. lrichard@phhp.ufl.edu
Neurorehabilitation and Neural Repair
|July 31, 2007
Summary
Modified bilateral arm training with rhythmic auditory cueing (modBATRAC) increased paretic upper-extremity use in chronic stroke survivors but did not improve motor function. Further research is needed to optimize this stroke rehabilitation approach.
Area of Science:
- Neurorehabilitation
- Stroke recovery
- Motor control
Background:
- Bilateral arm training with rhythmic auditory cueing (BATRAC) shows promise for upper-extremity (UE) recovery post-stroke.
- Previous studies indicate BATRAC's efficacy in enhancing UE function.
Purpose of the Study:
- To evaluate a modified BATRAC (modBATRAC) protocol with a condensed schedule.
- To determine if modBATRAC can replicate previous findings on UE recovery in chronic stroke.
Main Methods:
- Fourteen chronic stroke participants underwent 2 weeks of modBATRAC.
- Training involved 2.25-hour sessions, 4 times per week.
Main Results:
- No significant improvements were observed in Fugl-Meyer or Wolf Motor Function Test scores.
- Participants reported increased use of the paretic upper extremity on the Motor Activity Log (mean change = 0.50).
Conclusions:
- modBATRAC partially supports efficacy, increasing paretic arm use but not motor performance.
- Differences from prior studies may be due to a condensed schedule or less impaired patient group.

