Evidence map›Paper›PMID 36173326›Full record

Trial reportJournal of rehabilitation medicine2022

Effects of Alternating Bilateral Training Between Non-Paretic and Paretic Upper Limbs in Patients with Hemiparetic Stroke: A Pilot Randomized Controlled Trial.

Masashi Kumagai, Shintaro Uehara, Taichi Kurayama, Shin Kitamura, Sachiko Sakata, Kunitsugu Kondo, Eiji Shimizu, Naoki Yoshinaga, Yohei Otaka

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of rehabilitation medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 37% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
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

9 authors at 7 institutions in 1 country.

Masashi KumagaiDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba; Department of Cognitive Behavioral Physiology, Chiba University Graduate School of Medicine, Chiba.
Shintaro UeharaFaculty of Rehabilitation, School of Health Sciences, Fujita Health University, Aichi.
Taichi KurayamaFaculty of Health Sciences, Uekusa Gakuen University, Chiba.
Shin KitamuraDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba; Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Aichi; Department of Occupational Therapy, Tokyo Metropolitan University Graduate School of Human Health Sciences, Tokyo.
Sachiko SakataDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba.
Kunitsugu KondoDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba.
Eiji ShimizuDepartment of Cognitive Behavioral Physiology, Chiba University Graduate School of Medicine, Chiba.
Naoki YoshinagaSchool of Nursing, Faculty of Medicine, University of Miyazaki, Miyazaki.
Yohei OtakaDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba; Department of Rehabilitation Medicine I, Fujita Health University School of Medicine, Aichi, Japan. otaka119@mac.com.
Hebei Rehabilitation Hospital · JPChiba University · JPChiba University Hospital · JPFujita Health University · JPTokyo Metropolitan University · JPUekusa Gakuen University · JPUniversity of Miyazaki · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine whether alternating training with both the non-paretic and paretic sides (alternating bilateral training), expecting trial-to-trial inter-limb transfer of training effects from the nonparetic to the paretic side, improves upper-limb motor performance in post-stroke patients, compared with unilateral training involving only the paretic side.

designAn assessor-blinded pilot randomized controlled trial. SUBJECTS: Twenty-four right-handed post-stroke patients with hemiparesis.

methodsParticipants were randomly allocated to either an alternating bilateral training group or a unilateral training group (n = 12/group). Participants underwent dexterity training of the paretic arm using the Nine-Hole Peg Test, completing 10 trials/day for 7 consecutive days. The alternating bilateral training group additionally performed alternating trials with the non-paretic limb. Performance change, assessed 1 day and 1 week after the 7-day training period, was compared between groups.

resultsAlthough the improvement was comparable in both groups at both post-training time-points, a sub-analysis in which those with left hemiparesis and those with right hemiparesis were analyzed separately revealed potential benefits of the alternating bilateral training, specifically for those with left hemiparesis.

conclusionAlternating bilateral training may augment training effects and improve upper-limb motor function in patients with left hemiparesis.

Indexed as

StrokeStroke RehabilitationHumansParesisPilot ProjectsUpper Extremity

Identifiers

PMID36173326
PMCPMC9639491
OpenAlexW4297965114

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.