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身体康复医学评论综述

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ISSN 打印: 0896-2960

ISSN 在线: 2162-6553

SJR: 0.141 SNIP: 0.129 CiteScore™:: 0.6 H-Index: 18

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Comparison of Motor Relearning Program with Bilateral Arm Training on Upper-Extremity Control in Subacute Stroke Survivors

卷 31, 册 4, 2019, pp. 353-361
DOI: 10.1615/CritRevPhysRehabilMed.2020031239
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摘要

Restoring upper-extremity function is of vital importance to gain independence in the activities of daily living and thus improve quality of life. Most of the manual activities that we perform day in and day out require coordination of both hands, necessitating training in upper-limb coordination and preparing for natural use of both hands. The aim of the present study was to compare the effectiveness of a motor relearning program (MRP) with bilateral task-related training in subacute-phase stroke survivors. Sixteen patients with subacute middle cerebral artery (MCA) stroke (4 weeks to 6 months) who had the first onset of unilateral hemorrhagic (n = 3) or ischemic lesion (n = 6) were recruited into the study by purposive sampling. The study was conducted in three multispecialty hospitals in Jalandhar, Punjab, India. A pre/postanalysis after three weeks of intervention for each group was done to test the efficacy of the motor relearning program and bilateral arm training (BAT) on upper-extremity functions like grasp, grip, pinch, and gross movement on components of the action research arm test (ARAT) and the Fugl Mayer Assessment (FMA). Statistical analysis for pre/posttesting was done using SPSS 16. Post-intervention, both groups improved on the FMA and ARAT, but the motor relearning program showed more significant improvement in bilateral arm training in gross movement, with posttreatment change scores in group comparisons of 4.75 (9.00). The upper-extremity component of the FMA showed significantly more improvement in the bilateral arm training group compared with the motor relearning program. Posttreatment change scores in group comparisons were 21.63 (26.38). The level of significance was set at P < 0.05. According to the findings of the study, grasp, grip, pinch, and gross movement components of the ARAT and FMA in subacute stroke survivors showed significant improvement after application of motor relearning and bilateral arm training. Thus, it is suggested that MRP and BAT are effective for upper-extremity rehabilitation in subacute stroke survivors.

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