Bimanual Training After Stroke: Are Two Hands Better Than One?

Bimanual Training After Stroke: Are Two Hands Better Than One?
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中风后双手训练:两只手比一只手更好吗?

DOI:
10.1310/ncb1-jwaa-09qe-7txb
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发表时间:
2004
影响因子:
2.2
通讯作者:
C. Winstein
C. Winstein
中科院分区:
医学3区
文献类型:
--
作者:
D. Rose;C. Winstein

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摘要脑卒中后偏瘫上肢的功能恢复是大多数患者难以实现的。虽然许多任务需要双手的协调参与,但康复策略在大多数情况下都集中在瘫痪肢体上。本文回顾了健康和中风后轻偏瘫双手协调的行为基础,并回顾了使用双手训练方案进行康复的临床研究。我们的目的是检查和评估应用这种方法来促进上肢功能恢复的证据。基于我们的回顾,我们提出了一套先决条件的任务特点和病人的特点,在脑卒中后康复的双手训练协议的应用考虑。
Abstract Functional recovery of the paretic upper extremity eludes the majority of patients post stroke. Although many tasks require the coordinated participation of both hands, rehabilitation strategies for the most part have focused on the paretic limb. This article reviews the behavioral basis of bimanual coordination both in health and after stroke hemiparesis and reviews clinical research studies that have used a bimanual training protocol for rehabilitation. Our intent is to examine and evaluate the evidence for the application of such an approach to enhance recovery of upper extremity function. Based on our review, we suggest a set of prerequisite task features and patient characteristics for consideration in the application of bimanual training protocols for poststroke rehabilitation.
DOI: 10.1016/j.apmr.2003.10.020
发表时间: 2004-07-01
影响因子: 4.3
作者:
Waller, SM;Whitall, J
通讯作者: Whitall, J