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Simultaneous bilateral training for improving arm function after stroke.

Fiona Coupar1, Alex Pollock, Frederike van Wijck

  • 1Academic Section of Geriatric Medicine, University of Glasgow, University Block, Glasgow Royal Infirmary, Glasgow, UK, G4 0SF.

The Cochrane Database of Systematic Reviews
|April 16, 2010
PubMed
Summary
This summary is machine-generated.

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Simultaneous bilateral training shows no significant benefit for arm function after stroke compared to usual care or other interventions. More high-quality research is needed to determine its effectiveness for improving daily activities and arm movement.

Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Clinical Trials

Background:

  • Simultaneous bilateral training involves performing identical activities with both arms concurrently.
  • This intervention is explored as a method to enhance arm function and reduce impairment following neurological events like stroke.

Purpose of the Study:

  • To evaluate the impact of simultaneous bilateral training on improving arm function in individuals who have experienced a stroke.

Main Methods:

  • A systematic review and meta-analysis of randomized controlled trials were conducted.
  • Studies compared simultaneous bilateral training against placebo, no intervention, usual care, or other upper limb interventions in adult stroke survivors.

Main Results:

  • Analysis of 14 studies (421 participants) found no statistically significant differences in activities of daily living (ADL), functional arm movement, or hand function.

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  • Comparisons with usual care and other upper limb interventions yielded non-significant results for primary and secondary outcomes.

    • Conclusions:

    • Current evidence is insufficient to recommend simultaneous bilateral training over placebo, no intervention, or usual care.
    • Bilateral training appears to be no more or less effective than usual care or alternative upper limb interventions for improving arm function and motor impairment post-stroke.