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Repetitive bilateral arm training with rhythmic auditory cueing improves motor function in chronic hemiparetic stroke

Repetitive bilateral arm training with rhythmic auditory cueing improves motor function in chronic hemiparetic stroke
Repetitive bilateral arm training with rhythmic auditory cueing improves motor function in chronic hemiparetic stroke
Background and purpose: chronic upper extremity hemiparesis is a leading cause of functional disability after stroke. We investigated the hypothesis that bilateral arm training with rhythmic auditory cueing (BATRAC) will improve motor function in the hemiparetic arm of stroke patients.

Methods: in this single group pilot study we determined the effects of 6 weeks of BATRAC on 14 patients with chronic hemiparetic stroke (median time after stroke, 30 months) immediately after training and at 2 months after training. Four 5-minute periods per session (3 times per week) of BATRAC were performed with the use of a custom-designed arm training machine.

Results: the patients showed significant and potentially durable increases in the following: Fugl-Meyer Upper Extremity Motor Performance Test of impairment (P<0.0004), Wolf Motor Function Test (performance time measure, P<0.02), and University of Maryland Arm Questionnaire for Stroke measuring daily use of the hemiparetic arm (P<0.002). Isometric strength improved in elbow flexion (P<0.05) and wrist flexion (P<0.02) for the paretic arm and in elbow flexion (P<0.02) and wrist extension (P<0.02) for the nonparetic arm. Active range of motion improved for paretic-side shoulder extension (P<0.01), wrist flexion (P<0.004), and thumb opposition (P<0.002), and passive range of motion improved for paretic wrist flexion (P<0.03).

Conclusions: six weeks of BATRAC improves functional motor performance of the paretic upper extremity as well as a few changes in isometric strength and range of motion. These benefits are largely sustained at 8 weeks after training cessation
0039-2499
2390-2395
Whitall, J.
9ad11814-bec4-4eab-a31f-e5f499403164
Waller, S.M.
7064bd44-6fd9-4aaf-bab5-10a83ad975aa
Silver, K.H.C.
afb30f90-bf12-4eab-aafc-5fcde121252d
Macko, R.F.
b50febb0-5ccf-4787-a8ec-f9f51847fa79
Whitall, J.
9ad11814-bec4-4eab-a31f-e5f499403164
Waller, S.M.
7064bd44-6fd9-4aaf-bab5-10a83ad975aa
Silver, K.H.C.
afb30f90-bf12-4eab-aafc-5fcde121252d
Macko, R.F.
b50febb0-5ccf-4787-a8ec-f9f51847fa79

Whitall, J., Waller, S.M., Silver, K.H.C. and Macko, R.F. (2000) Repetitive bilateral arm training with rhythmic auditory cueing improves motor function in chronic hemiparetic stroke. Stroke, 31 (10), 2390-2395. (doi:10.1161/?01.STR.31.10.2390). (PMID:11022069)

Record type: Article

Abstract

Background and purpose: chronic upper extremity hemiparesis is a leading cause of functional disability after stroke. We investigated the hypothesis that bilateral arm training with rhythmic auditory cueing (BATRAC) will improve motor function in the hemiparetic arm of stroke patients.

Methods: in this single group pilot study we determined the effects of 6 weeks of BATRAC on 14 patients with chronic hemiparetic stroke (median time after stroke, 30 months) immediately after training and at 2 months after training. Four 5-minute periods per session (3 times per week) of BATRAC were performed with the use of a custom-designed arm training machine.

Results: the patients showed significant and potentially durable increases in the following: Fugl-Meyer Upper Extremity Motor Performance Test of impairment (P<0.0004), Wolf Motor Function Test (performance time measure, P<0.02), and University of Maryland Arm Questionnaire for Stroke measuring daily use of the hemiparetic arm (P<0.002). Isometric strength improved in elbow flexion (P<0.05) and wrist flexion (P<0.02) for the paretic arm and in elbow flexion (P<0.02) and wrist extension (P<0.02) for the nonparetic arm. Active range of motion improved for paretic-side shoulder extension (P<0.01), wrist flexion (P<0.004), and thumb opposition (P<0.002), and passive range of motion improved for paretic wrist flexion (P<0.03).

Conclusions: six weeks of BATRAC improves functional motor performance of the paretic upper extremity as well as a few changes in isometric strength and range of motion. These benefits are largely sustained at 8 weeks after training cessation

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Published date: October 2000
Organisations: Faculty of Health Sciences

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Local EPrints ID: 361311
URI: http://eprints.soton.ac.uk/id/eprint/361311
ISSN: 0039-2499
PURE UUID: 286815fd-ac36-40ba-9f01-56cf22245153

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Date deposited: 17 Jan 2014 10:26
Last modified: 16 Jul 2019 21:14

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Contributors

Author: J. Whitall
Author: S.M. Waller
Author: K.H.C. Silver
Author: R.F. Macko

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