| 제목 |
Effectiveness of bimanual activity exercise in upper motor function outcome in unilateral stroke |
| 소속 |
Konkuk University School of Medicine and Konkuk University Medical Center, Seoul, Korea, Department of Rehabilitation Medicine1, Konkuk University, Seoul, Korea, Center for Neuroscience Research, Institute of Biomedical Science & Technology2, KonKuk University School of Medicine, Seoul, Korea, Research Institute of Medical Science3 |
| 저자 |
Hyuntae Kim1*, Hyun Haeng Lee1, Jongmin Lee1,2† |
Objective: In hemiparetic stroke patients, the focus of conventional rehabilitation therapy has been strictly steered towards contralesional side weakness. However, with ipsilesional hand function deficit known to be common in patients with unilateral stroke, a need for strategic modification of occupational therapy should be validated. Previous studies have documented motor impairments of ipsilateral side in the form of subtle impairments in dexterity, which might be attributed to changes in the corpus callosum with microstructural deficits. Therefore, the aim of this study is to investigate the effectiveness of bimanual activity training in upper motor function outcome in terms of Jebsen Hand Function Test (JHFT) in patients with unilateral stroke.
Methods: The outcomes of the first 14 unilateral stroke patients who received the bimanual activity training in combination with the conventional occupational therapy from September 2017 to June 2018 at a tertiary hospital were examined. Patients were selected according to inclusion criteria of unilateral stroke with onset of less than 3 months and absence of previous history of stroke or other neurodegenerative disease. This study group was compared to 14 propensity-matched control patients identified from a database between August 2012 and August 2017, which constitutes the time frame prior to the implementation of the bimanual activity regimen.
Results: Upper motor function measured in terms of JHFT score was significantly improved in both sides. In hemiparetic stroke patients, who received the bimanual activity training combined with the conventional occupational therapy compared to those receiving only the conventional reigmen, JHFT scores increased by 2.6 ± 8.4 and 1.1 ± 0.3 on contralesional and ipsilesional sides, respectively (p < 0.05).
Conclusion: Our data suggest that the implementation of bimanual activity training in addition to the conventional occupational therapy has improved not only the ipsilesional upper motor function but also the contralesional side, validating the effectiveness of bimanual activity training in upper motor function outcome of patients with unilateral stroke.
Key words: Ipsilateral hand function deficit, unilateral stroke, bimanual activity |
|
|
