The impact of bilateral therapy on upper limb function after chronic stroke: a systematic review

Latimer, Christopher Paul; Keeling, Justine; Lin, Broderick; Henderson, Meredith C.; Hale, Leigh

doi:10.3109/09638280903483877

Cited by 52 publications

(40 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Another participant was now able to push her manual wheelchair with both hands, thus going straight. This finding was not surprising because bilateral therapy has proven efficacy in functional recovery of the upper limb following stroke [34][35][36][37].…”

Section: Discussionmentioning

confidence: 88%

Participant perceptions of use of CyWee Z as adjunct to rehabilitation of upper-limb function following stroke

Hale

Satherley

McMillan

et al. 2012

JRRD

View full text Add to dashboard Cite

Abstract-This article reports on the perceptions of 14 adults with chronic stroke who participated in a pilot study to determine the utility, acceptability, and potential efficacy of using an adapted CyWee Z handheld game controller to play a variety of computer games aimed at improving upper-limb function. Four qualitative in-depth interviews and two focus groups explored participant perceptions. Data were thematically analyzed with the general inductive approach. Participants enjoyed playing the computer games with the technology. The perceived benefits included improved upper-limb function, concentration, and balance; however, six participants reported shoulder and/or arm pain or discomfort, which presented while they were engaged in play but appeared to ease during rest. Participants suggested changes to the games and provided opinions on the use of computer games in rehabilitation. Using an adapted CyWee Z controller and computer games in upper-limb rehabilitation for people with chronic stroke is an acceptable and potentially beneficial adjunct to rehabilitation. The development of shoulder pain was a negative side effect for some participants and requires further investigation.

show abstract

Section: Discussionmentioning

confidence: 88%

Participant perceptions of use of CyWee Z as adjunct to rehabilitation of upper-limb function following stroke

Hale

Satherley

McMillan

et al. 2012

JRRD

View full text Add to dashboard Cite

show abstract

“…First, the unaffected side can support and assist the affected side in a bilateral manner by using the handlebar. Bilateral therapy has proven to be effective in functional recovery of the upper limb [20][21]. Second, rotation of the CyWee Z results in synchronous bilateral gross motor movements with the handlebar, whereas while the CyWee Z is held in one hand without the handlebar, only limited wrist movement is needed to control the cursor.…”

Section: Discussionmentioning

confidence: 99%

“…Third, the handlebar can be placed on the lap as a support against gravity yet still enable gross motor movement if the user has difficulty lifting the device. In their review of bilateral therapy, Latimer et al suggest that bilateral training provides the requirements considered necessary for motor relearning and focuses on the importance of active involvement of the affected side rather than the affected hand being driven by a robot or the unaffected side [21]. Bilateral training using the CyWee Z requires this active involvement of the affected upper limb.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, strong evidence exists that bilateral training is effective in functional recovery of the upper limb [20][21]. Summers et al suggest that bilateral synchronous movement therapy is more effective than similar unilateral training [22].…”

Section: Introductionmentioning

confidence: 99%

“…Bilateral therapy is based on the idea that involvement of the unaffected upper limb facilitates learning the spatial and temporal parameters required for motor recovery of the affected limb [21]. Bilateral training is thought to increase activation of the affected hemisphere, especially the secondary motor areas, by interhemispheric connections [21][22].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Bilateral upper-limb rehabilitation after stroke using a movement-based game controller

Hijmans¹,

Hale²,

Satherley³

et al. 2011

JRRD

View full text Add to dashboard Cite

Abstract-This study aimed to determine the effectiveness of a bilateral, self-supported, upper-limb rehabilitation intervention using a movement-based game controller for people with chronic stroke. Fourteen participants received a control treatment, followed by a washout period, and then the intervention. The intervention comprised playing computer games with the CyWee Z (CyWee Group Ltd; Taipei, Taiwan), a movement-based game controller similar to the Nintendo Wii remote. The CyWee Z was incorporated into a handlebar, making bilateral exercises possible by allowing the unaffected side to support and assist the affected side. The intervention lasted for 8 to 10 sessions of 45 to 60 minutes over a period of 2.5 weeks. The Fugl-Meyer Assessment upper-limb section (FMA-UL) was used as the primary outcome. The Wolf Motor Function Test and the Disabilities of Arm, Shoulder, and Hand outcome measure were used as secondary outcomes. Postintervention, motor performance as measured by the FMA-UL was significantly improved compared with all preintervention assessments (p < 0.001), whereas no changes were found on both secondary outcomes. It can be concluded from this pilot study that upper-limb motor performance of adults with chronic stroke improves with repetitive, game-assisted, selfsupported bilateral exercises.

show abstract

Interventions for improving upper limb function after stroke

Pollock

Farmer

Brady

et al. 2014

Cochrane Database of Systematic Reviews

627

529

View full text Add to dashboard Cite

Large numbers of overlapping reviews related to interventions to improve upper limb function following stroke have been identified, and this overview serves to signpost clinicians and policy makers toward relevant systematic reviews to support clinical decisions, providing one accessible, comprehensive document, which should support clinicians and policy makers in clinical decision making for stroke rehabilitation.Currently, no high-quality evidence can be found for any interventions that are currently used as part of routine practice, and evidence is insufficient to enable comparison of the relative effectiveness of interventions. Effective collaboration is urgently needed to support large, robust RCTs of interventions currently used routinely within clinical practice. Evidence related to dose of interventions is particularly needed, as this information has widespread clinical and research implications.

show abstract

The impact of bilateral therapy on upper limb function after chronic stroke: a systematic review

Abstract: There is some evidence that bilateral therapy improves function in adults with chronic stroke, however more quality RCTs are required to strengthen this evidence.

Cited by 52 publications

References 38 publications

Participant perceptions of use of CyWee Z as adjunct to rehabilitation of upper-limb function following stroke

Participant perceptions of use of CyWee Z as adjunct to rehabilitation of upper-limb function following stroke

Bilateral upper-limb rehabilitation after stroke using a movement-based game controller

Interventions for improving upper limb function after stroke

Contact Info

Product

Resources

About