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KMID : 1143320200090020119
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Therapeutic Science for Neurorehabilitation
2020 Volume.9 No. 2 p.119 ~ p.135
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Effects of Bimanual Intensive Training on Upper Extremity Function in Stroke Patients
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Hong Ho-Jin
Park Hae-Yean
Kim Jung-Ran
Park Ji-Hyuk
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Abstract
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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.
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KEYWORD
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Bimanual coordination, Bimanual intensive training, Stroke, Upper extremity function
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