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Bilateral movement training and stroke motor recovery progress: A structured review and meta-analysis
Citation
Cauraugh, J and Lodha, N and Naik, S and Summers, JJ, Bilateral movement training and stroke motor recovery progress: A structured review and meta-analysis, Human Movement Science, 29, (5) pp. 853-870. ISSN 0167-9457 (2010) [Refereed Article]
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DOI: doi:10.1016/j.humov.2009.09.004
Abstract
The purpose was to conduct a structured review and meta-analysis to determine the cumulative effect of bilateral arm training on motor capabilities post stroke. Forty-eight stroke studies were selected from three databases with 25 comparisons qualifying for inclusion in our meta-analysis. We identified and coded four types of bilateral arm interventions with 366 stroke patients. A random effects model using the standardized mean difference technique determined a large and significant effect size (0.734; SE = 0.125), high fail-safe N (532), and medium variability in the studies (I2 = 63%). Moderator variable analysis on the type of bilateral training revealed two large and significant effects: (a) BATRAC (0.842; SE = 0.155) and (b) coupled bilateral and EMG-triggered neuromuscular stimulation (1.142; SE = 0.176). These novel findings provide strong evidence supporting bilateral arm training with the caveat that two coupled protocols, rhythmic alternating movements and active stimulation, are most effective.
Item Details
Item Type: | Refereed Article |
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Keywords: | Meta-analysis; Stroke rehabilitation; Bilateral movement training; Motor recovery |
Research Division: | Psychology |
Research Group: | Cognitive and computational psychology |
Research Field: | Sensory processes, perception and performance |
Objective Division: | Health |
Objective Group: | Clinical health |
Objective Field: | Clinical health not elsewhere classified |
UTAS Author: | Summers, JJ (Professor Jeffery Summers) |
ID Code: | 66230 |
Year Published: | 2010 |
Web of Science® Times Cited: | 109 |
Deposited By: | Psychology |
Deposited On: | 2011-01-10 |
Last Modified: | 2014-12-05 |
Downloads: | 1 View Download Statistics |
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