A Biomedical Decision Support System for Meta-analysis of Bilateral Upper-limb Training in Stroke Patients with Hemiplegia

Overview

Journal Open Life Sci

Specialty Biology

Date 2023 Aug 2

PMID 37528885

Authors

Linna Jin

Zhe Yang

Zhaojun Zou

Tao Wu

Hongying Pan

Affiliations

Soon will be listed here.

Abstract

The purpose of this study is to investigate the efficacy of bilateral upper-limb training (BULT) in helping people with upper-limb impairments due to stroke or brain illness regain their previous level of function. Patients recuperating from a stroke or cerebral disease were given the option of undergoing BULT or conventional training to enhance their upper-limb function. Participants were randomly allocated to one of the several different fitness programs. Results from the action research arm test, Box and block test, Wolf motor function test, Fugal-Meyer evaluation, and any other tests administered were taken into account. Some researchers have found that exercising with BULT for just 30 min per day for 6 weeks yields significant results. There were a total of 1,411 individuals from 10 randomized controlled trials included in this meta-analysis. Meta-analysis findings revealed that biofeedback treatment outperformed conventional rehabilitation therapy in reducing lower leg muscular strain, complete spasm scale score, electromyography score, and inactive ankle joint range of motion. An analysis of the literature found that BULT improved limb use in people who had suffered a stroke and hemiplegia but it did not provide any additional benefit over unilateral training.

References

Edwards D, Cortes M, Rykman-Peltz A, Chang J, Elder J, Thickbroom G . Clinical improvement with intensive robot-assisted arm training in chronic stroke is unchanged by supplementary tDCS. Restor Neurol Neurosci. 2019; 37(2):167-180. DOI: 10.3233/RNN-180869. View

Schiefelbein M, Salazar A, Marchese R, Rech K, Schifino G, Figueiredo C . Upper-limb movement smoothness after stroke and its relationship with measures of body function/structure and activity - A cross-sectional study. J Neurol Sci. 2019; 401:75-78. DOI: 10.1016/j.jns.2019.04.017. View

Li X, Lin Y, Cunningham D, Wolf S, Sakaie K, Conforto A . Repetitive Transcranial Magnetic Stimulation of the Contralesional Dorsal Premotor Cortex for Upper Extremity Motor Improvement in Severe Stroke: Study Protocol for a Pilot Randomized Clinical Trial. Cerebrovasc Dis. 2022; 51(5):557-564. PMC: 9296688. DOI: 10.1159/000521514. View

Pila O, Koeppel T, Grosmaire A, Duret C . Impact of Dose of Combined Conventional and Robotic Therapy on Upper Limb Motor Impairments and Costs in Subacute Stroke Patients: A Retrospective Study. Front Neurol. 2022; 13:770259. PMC: 8869251. DOI: 10.3389/fneur.2022.770259. View

Askin A, Atar E, Kocyigit H, Tosun A . Effects of Kinect-based virtual reality game training on upper extremity motor recovery in chronic stroke. Somatosens Mot Res. 2018; 35(1):25-32. DOI: 10.1080/08990220.2018.1444599. View

Desrosiers J, Bourbonnais D, Corriveau H, Gosselin S, Bravo G . Effectiveness of unilateral and symmetrical bilateral task training for arm during the subacute phase after stroke: a randomized controlled trial. Clin Rehabil. 2005; 19(6):581-93. DOI: 10.1191/0269215505cr896oa. View

Dash S, Chakraborty C, Giri S, Pani S . Intelligent computing on time-series data analysis and prediction of COVID-19 pandemics. Pattern Recognit Lett. 2021; 151:69-75. PMC: 8364174. DOI: 10.1016/j.patrec.2021.07.027. View

Wu C, Chuang L, Lin K, Chen H, Tsay P . Randomized trial of distributed constraint-induced therapy versus bilateral arm training for the rehabilitation of upper-limb motor control and function after stroke. Neurorehabil Neural Repair. 2010; 25(2):130-9. DOI: 10.1177/1545968310380686. View

Rochmah T, Rahmawati I, Dahlui M, Budiarto W, Bilqis N . Economic Burden of Stroke Disease: A Systematic Review. Int J Environ Res Public Health. 2021; 18(14). PMC: 8307880. DOI: 10.3390/ijerph18147552. View

10.

Higgins J, Altman D, Gotzsche P, Juni P, Moher D, Oxman A . The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ. 2011; 343:d5928. PMC: 3196245. DOI: 10.1136/bmj.d5928. View

11.

Han K, Kim J . The effects of bilateral movement training on upper limb function in chronic stroke patients. J Phys Ther Sci. 2016; 28(8):2299-302. PMC: 5011582. DOI: 10.1589/jpts.28.2299. View

12.

Morris J, van Wijck F, Joice S, Ogston S, Cole I, MacWalter R . A comparison of bilateral and unilateral upper-limb task training in early poststroke rehabilitation: a randomized controlled trial. Arch Phys Med Rehabil. 2008; 89(7):1237-45. DOI: 10.1016/j.apmr.2007.11.039. View

13.

Chen P, Kwong P, Lai C, Ng S . Comparison of bilateral and unilateral upper limb training in people with stroke: A systematic review and meta-analysis. PLoS One. 2019; 14(5):e0216357. PMC: 6532847. DOI: 10.1371/journal.pone.0216357. View

14.

Stoykov M, King E, David F, Vatinno A, Fogg L, Corcos D . Bilateral motor priming for post stroke upper extremity hemiparesis: A randomized pilot study. Restor Neurol Neurosci. 2019; 38(1):11-22. PMC: 7205167. DOI: 10.3233/RNN-190943. View

15.

Zhang Q, Schwade M, Smith Y, Wood R, Young L . Exercise-based interventions for post-stroke social participation: A systematic review and network meta-analysis. Int J Nurs Stud. 2020; 111:103738. DOI: 10.1016/j.ijnurstu.2020.103738. View

16.

Saposnik G, Barinagarrementeria F, Brown Jr R, Bushnell C, Cucchiara B, Cushman M . Diagnosis and management of cerebral venous thrombosis: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2011; 42(4):1158-92. DOI: 10.1161/STR.0b013e31820a8364. View

17.

Kim S, Park J . The Effect of Occupation-Based Bilateral Upper Extremity Training in a Medical Setting for Stroke Patients: A Single-Blinded, Pilot Randomized Controlled Trial. J Stroke Cerebrovasc Dis. 2019; 28(12):104335. DOI: 10.1016/j.jstrokecerebrovasdis.2019.104335. View

18.

Arwert H, Schut S, Boiten J, Vliet Vlieland T, Meesters J . Patient reported outcomes of hand function three years after stroke. Top Stroke Rehabil. 2017; 25(1):13-19. DOI: 10.1080/10749357.2017.1385232. View

19.

Gurbuz N, Afsar S, Ayas S, Cosar S . Effect of mirror therapy on upper extremity motor function in stroke patients: a randomized controlled trial. J Phys Ther Sci. 2016; 28(9):2501-2506. PMC: 5080161. DOI: 10.1589/jpts.28.2501. View

20.

Rodgers H, Bosomworth H, Krebs H, van Wijck F, Howel D, Wilson N . Robot assisted training for the upper limb after stroke (RATULS): a multicentre randomised controlled trial. Lancet. 2019; 394(10192):51-62. PMC: 6620612. DOI: 10.1016/S0140-6736(19)31055-4. View