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KMID : 1143320130020010036
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Therapeutic Science for Neurorehabilitation
2013 Volume.2 No. 1 p.36 ~ p.47
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The Effect of Bilateral Arm Training for the Chronic Phase After Stroke in Activities of Daily Living
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Lee Hyun-Jin
Kwon Hyuk-Cheol
Chang Moon-Young
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Abstract
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Objective : To identify the effect of bilateral arm training for activities of daily living(ADL) of the chronic phase after stroke.
Methods : 20 patients with stroke, randomized to an experimental group(n=10) and a control group(n=10). Both groups received the usual occupational therapy. In addition, an experimental group received an bilateral arm training, 30-min sessions per a day for 6 weeks. The Functional Independence Measure(FIM) was used to evaluate ADL for both groups.
Results : First, there is a significant difference before and after receiving the bilateral arm training(p <.05). Second, there are significant differences in all ADL areas of Self-care, Transfer, Social cognition after bilateral arm training(p<.05). Third, there are significant differences in all sub-areas of Self-care, only stairs of Locomotion, and only Problem solving of Social cognition by comparing sub-areas as bilateral arm activity(before and after) and occupational therapy intervention(before and after).
Conclusion : Using bilateral arm training for the chronic phase after stroke improved their abilities of ADL. Therefore, there are an expectation to use bilateral activity training for the chronic after stroke clinically and a need of further study about bilateral arm training related to ADL in the future.
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KEYWORD
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ADL , Bilateral arm training , Stroke
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