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KMID : 1034520200140010035
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Journal of Occupational Therapy for the Aged and Dementia
2020 Volume.14 No. 1 p.35 ~ p.47
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A Systematic Review of Bilateral Upper Extremity Training in Stroke
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Choi So-Eun
Kim Deok-Ju
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Abstract
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Objective : This study was a systematic review of the literature to identify the latest trends in bilateral upper
extremity training for patients with stroke and intended to provide a basis for bilateral upper extremity training programs.
Methods : This study was conducted to search the domestic literature for articles published between from January 2010 and December 2019 in Riss and Kiss; foreign articles were searched using Pubmed, Science Direct, and Google Scholar. A total of 506 studies were searched, and 11 studies were finally used for analysis based on the inclusion and exclusion criteria; 10 (91%) of evidence level I and 1 (9%) of evidence level II were analyzed.
Results : As a result of the analysis, bilateral upper extremity training described in the selected articles was classified into three categories: task-oriented, functional, and occupation-based bilateral upper extremity training. Task-oriented bilateral upper extremity training, as reported in 5 articles, was the most common (45.5%). A total of 29 evaluation tools were used, and many evaluations of upper extremity function (47.2%) and activities of daily living (16.7%) were used. The most studied intervention periods were 2-4 weeks and 5-7 weeks (36.3%), with a duration of 10-15 sessions (36.3%) and time of 30-32 minutes (54.5%).
Conclusion : Based on the findings of this study, it is expected that bilateral training can be effectively applied in patients with stroke who experience difficulties in daily life due to limitations in upper extremity
function.
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KEYWORD
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Stroke, Bimanual, Bilateral, Upper extremity, Training, Systematic review
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