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首页> 外文期刊>Stroke: A Journal of Cerebral Circulation >Unilateral versus bilateral upper limb training after stroke: The upper limb training after stroke clinical trial
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Unilateral versus bilateral upper limb training after stroke: The upper limb training after stroke clinical trial

机译：脑卒中后单侧与双侧上肢训练：脑卒中后上肢训练临床试验

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Background and Purpose - Unilateral and bilateral training protocols for upper limb rehabilitation after stroke represent conceptually contrasting approaches with the same ultimate goal. In a randomized controlled trial, we compared the merits of modified constraint-induced movement therapy, modified bilateral arm training with rhythmic auditory cueing, and a dose-matched conventional treatment. Modified constraint-induced movement therapy and modified bilateral arm training with rhythmic auditory cueing targeted wrist and finger extensors, given their importance for functional recovery. We hypothesized that modified constraint-induced movement therapy and modified bilateral arm training with rhythmic auditory cueing are superior to dose-matched conventional treatment. Methods - Sixty patients, between 1 to 6 months after stroke, were randomized over 3 intervention groups. The primary outcome measure was the Action Research Arm test, which was conducted before, directly after, and 6 weeks after intervention. Results - Although all groups demonstrated significant improvement on the Action Research Arm test after intervention, which persisted at 6 weeks follow-up, no significant differences in change scores on the Action Research Arm test were found between groups postintervention and at follow-up. Conclusions - Modified constraint-induced movement therapy and modified bilateral arm training with rhythmic auditory cueing are not superior to dose-matched conventional treatment or each other in improving upper limb motor function 1 to 6 months after stroke.
机译：背景与目的-脑卒中后上肢康复的单方面和双边培训方案代表了具有相同最终目标的概念对比方法。在一项随机对照试验中，我们比较了改良的约束诱导运动疗法，改良的双侧臂训练和节律性听觉提示以及剂量匹配的常规治疗的优点。鉴于其对功能恢复的重要性，因此改良的约束诱发运动疗法和节奏性听觉提示的改良双侧手臂训练针对了手腕和手指伸肌。我们假设改良的约束诱导运动疗法和改良的双侧臂节律性听觉提示训练优于剂量匹配的常规治疗。方法-将60例卒中后1至6个月之间的患者随机分为3个干预组。主要结果指标是“行动研究组”测试，该测试在干预之前，之后和之后6周进行。结果-尽管所有组均在干预后的6周随访中显示出对Action Research Arm测验的显着改善，但干预后和随访时各组之间在Action Research Arm测验的变化评分上均无显着差异。结论-改良的约束诱导运动疗法和有节奏的听觉提示的改良双侧臂训练在中风后1至6个月改善上肢运动功能方面不优于剂量匹配的常规治疗或彼此相辅相成。

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