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http://dx.doi.org/10.22683/tsnr.2020.9.2.119

Effects of Bimanual Intensive Training on Upper Extremity Function in Stroke Patients  

Hong, Ho-Jin (Department of Physical Medicine and Rehabilitation, Dongguk University Ilsan Hospital)
Park, Hae Yean (Department of Occupational Therapy, College of Health Science, Yonsei University)
Kim, Jung-Ran (Department of Dementia Prevention and Rehabilitation, College of Human Service, Catholic Kwandong University)
Park, Ji-Hyuk (Department of Occupational Therapy, College of Health Science, Yonsei University)
Publication Information
Therapeutic Science for Rehabilitation / v.9, no.2, 2020 , pp. 119-135 More about this Journal
Abstract
Objective : The purpose of this study was to investigate the effects of bimanual intensive training on Upper Extremity Function and activities of daily living in stroke patients. Methods : The subjects were 18 patients who were diagnosed with hemiplegic stroke. They were randomly assigned to bimanual intensive training group (n=9) and unilateral intensive group (n=9). Bimanual training group performed bimanual task and unilateral training group performed one hand task for 1 hour per session, 5 times a week, for 4 weeks. Chi-square test, Wilcoxon signed rank test, and Mann-Whitney U test were used for analysis. Results : The results showed that, upper extremity motor function and bimanual coordination were significantly improved in patients in the bimanual training group (p<.05). Additionally, the ratio of affected hand use and amount of use/quality of movement in the hemiplegic upper extremity in activities of daily living for patients in the bimanual training group were significantly improved (p<.05). Although the unilateral group improved motor upper extremity function and activities of daily living in the upper extremity (p<.05), it was not significantly different from that in the bimanual training group. In between-group comparison, bimanual coordination and ratio of the affected hand use in a day were significantly different (p<.05). Conclusion : It is reasonable to conclude that bimanual intensive training therapy is an effective intervention method to improve upper extremity motor function, and activities of daily living in stroke patients.
Keywords
Bimanual coordination; Bimanual intensive training; Stroke; Upper extremity function;
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