Evidence map›Paper›PMID 19164850›Full record

Trial reportRestorative neurology and neuroscience2009

Upper extremity improvements in chronic stroke: coupled bilateral load training.

James H Cauraugh, Stephen A Coombes, Neha Lodha, Sagar K Naik, Jeffery J Summers

Registry-linked trialOpen access · greenAbstract readControlled Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Restorative neurology and neuroscience, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00369668 (Subacute Stroke Recovery), which is not on this map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00369668 phase2completednot on this map

Subacute Stroke Recovery (Upper Extremity Motor Function): Bimanual Coordination Training

TypeinterventionalSponsorUniversity of FloridaRan2006 to 2009Enrolled30ConditionsCerebrovascular Accident, HemiplegiaArmsBilateral movements and neuromuscular electrical stimulation, Bilateral movements and sham electrical stimulation
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Simultaneous bilateral training for improving arm function after stroke.The Cochrane database of systematic reviews · 2010
    Pooled it
  3. Article
  4. Development and Psychometric Testing of the Bimanual Assessment Measure for People With Chronic Stroke.The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2022
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Mirror versus parallel bimanual reaching.Journal of neuroengineering and rehabilitation · 2013
    Article
  10. Article
  11. Article
  12. Review
  13. Influence of task on interlimb coordination in adults with cerebral palsy.Archives of physical medicine and rehabilitation · 2010
    Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

James H CauraughMotor Behavior Laboratory, Applied Physiology and Kinesiology Department, University of Florida, Gainesville, FL 32611, USA. jcaura@hhp.ufl.edu
Stephen A Coombes
Neha Lodha
Sagar K Naik
Jeffery J Summers
University of Florida · USUniversity of Tasmania · AU

Funding

Subacute Stroke Recovery: Bimanual Coordination TrainingR03HD044534 · NICHD · UNIVERSITY OF FLORIDA · PI CAURAUGH, JAMES H · 2006 to 2007
$143k
NICHD NIH HHS R03 HD044534
6 · The paper itself

Abstract

backgroundThe current treatment intervention study determined the effect of coupled bilateral training (i.e., bilateral movements and EMG-triggered neuromuscular stimulation) and resistive load (mass) on upper extremity motor recovery in chronic stroke.

methodsThirty chronic stroke subjects were randomly assigned to one of three behavioral treatment groups and completed 6 hours of rehabilitation in 4 days: (1) coupled bilateral training with a load on the unimpaired hand, (2) coupled bilateral training with no load on the unimpaired hand, and (3) control (no stimulation assistance or load).

resultsSeparate mixed design ANOVAs revealed improved motor capabilities by the coupled bilateral groups. From the pretest to the posttest, both the coupled bilateral no load and load groups moved a higher number of blocks and demonstrated more regularity in the sustained contraction task. Faster motor reaction times across test sessions for the coupled bilateral load group provided additional evidence for improved motor capabilities.

conclusionsTogether these behavioral findings lend support to the contribution of coupled bilateral training with a load on the unimpaired arm to improved motor capabilities on the impaired arm. This evidence supports a neural explanation in that simultaneously moving both limbs during stroke rehabilitation training appears to activate balanced interhemispheric interactions while an extra load on the unimpaired limb provides stability to the system.

Indexed as

Stroke RehabilitationWeight-BearingAdultAgedAnalysis of VarianceChronic DiseaseElectric StimulationElectromyographyEntropyExercise TherapyFemaleFunctional LateralityHumansMaleMiddle AgedMovement

Identifiers

PMID19164850
PMCPMC2752408
OpenAlexW1926684441

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.