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DC Field | Value | Language |
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dc.contributor.author | van Delden, AL | - |
dc.contributor.author | Peper, CE | - |
dc.contributor.author | Nienhuys, KN | - |
dc.contributor.author | Zijp, NI | - |
dc.contributor.author | Beek, PJ | - |
dc.contributor.author | Kwakkel, G | - |
dc.date.accessioned | 2014-09-03T11:21:28Z | - |
dc.date.available | 2014-09-03T11:21:28Z | - |
dc.date.issued | 2013 | - |
dc.identifier.citation | Stroke, 44(9), 2613 - 2616, 2013 | en_US |
dc.identifier.issn | 1524-4628 | - |
dc.identifier.uri | http://stroke.ahajournals.org/content/44/9/2613 | en |
dc.identifier.uri | http://bura.brunel.ac.uk/handle/2438/8995 | - |
dc.description | This article is available open access through the publisher’s website at the link below. Copyright © 2013 American Heart Association, Inc. | en_US |
dc.description.abstract | Background and Purpose — Unilateral and bilateral training protocols for upper limb rehabilitation after stroke represent conceptually contrasting approaches with the same ultimate goal. In a randomized controlled trial, we compared the merits of modified constraint-induced movement therapy, modified bilateral arm training with rhythmic auditory cueing, and a dose-matched conventional treatment. Modified constraint-induced movement therapy and modified bilateral arm training with rhythmic auditory cueing targeted wrist and finger extensors, given their importance for functional recovery. We hypothesized that modified constraint-induced movement therapy and modified bilateral arm training with rhythmic auditory cueing are superior to dose-matched conventional treatment. Methods — Sixty patients, between 1 to 6 months after stroke, were randomized over 3 intervention groups. The primary outcome measure was the Action Research Arm test, which was conducted before, directly after, and 6 weeks after intervention. Results — Although all groups demonstrated significant improvement on the Action Research Arm test after intervention, which persisted at 6 weeks follow-up, no significant differences in change scores on the Action Research Arm test were found between groups postintervention and at follow-up. Conclusions — Modified constraint-induced movement therapy and modified bilateral arm training with rhythmic auditory cueing are not superior to dose-matched conventional treatment or each other in improving upper limb motor function 1 to 6 months after stroke. Clinical Trial Registration — URL: http://www.trialregister.nl. Unique identifier: NTR1665. | en_US |
dc.language | eng | - |
dc.language.iso | en | en_US |
dc.publisher | American Heart Association | en_US |
dc.subject | Rehabilitation | en_US |
dc.subject | Stroke | en_US |
dc.subject | Upper extremity | en_US |
dc.title | Unilateral versus bilateral upper limb training after stroke: The upper limb training after stroke clinical trial | en_US |
dc.type | Article | en_US |
dc.identifier.doi | http://dx.doi.org/10.1161/STROKEAHA.113.001969 | - |
pubs.organisational-data | /Brunel | - |
pubs.organisational-data | /Brunel/Leavers | - |
Appears in Collections: | Sport Dept of Life Sciences Research Papers |
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Notice.pdf | 39.83 kB | Adobe PDF | View/Open |
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