Evidence map›Paper›PMID 40817662›Full record

Trial reportAnnals of clinical and translational neurology2025

Bilateral versus Unilateral Training With Rhythmic Auditory Cueing in Stroke Rehabilitation: Effects on Upper Limb Function and Interhemispheric Inhibition.

Fangfang Qian, Yanhong Dai, Guoqiang Zheng, Qi Zhong, Jianliang Lu, Luying Hu, Youhua He, Zhuoming Chen

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of clinical and translational neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Trial
  2. 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

8 authors.

Fangfang QianDepartment of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China.ORCID 0000-0001-6628-9183
Yanhong DaiDepartment of Rehabilitation Medicine, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.
Guoqiang ZhengDepartment of Rehabilitation Medicine, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.
Qi ZhongDepartment of Rehabilitation Medicine, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.
Jianliang LuDepartment of Rehabilitation Medicine, Guangzhou Red Cross Hospital, Jinan University, Guangzhou, Guangdong, China.
Luying HuDepartment of Rehabilitation Medicine, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.
Youhua HeDepartment of Comprehensive Medical Treatment Ward, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Zhuoming ChenDepartment of Rehabilitation Medicine, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.

Funding

Key Realm R&D Program of Guangzhou Province 2019B030335001National Key Research and Development Program of China 2020YFC2005700
6 · The paper itself

Abstract

backgroundStroke is a leading cause of long-term disability in adults, with upper limb hemiparesis being a common impairment. Traditional training is mostly aimed at paralyzed limbs, but the effect of bilateral training is still unclear.

objectiveThis study explores the influence and mechanism of unilateral and bilateral rhythmic task training on the rehabilitation of stroke patients. STUDY

designThis was a double-blind randomized controlled trial.

methodsThirty-six patients were randomly assigned to the bilateral group or to the unilateral group. The bilateral group engaged in repetitive training involving both arms and distal hand movements, while the unilateral group focused on the affected arm. Evaluations were performed before treatment and immediately after treatment. The outcome measures included Fugl-Meyer Upper Extremity (FMA-UE), the average electromyographic values of a total of 16 muscle groups on both the unaffected and affected sides (with 8 muscle groups on each side) during maximum voluntary isometric contraction, as well as the active range of motion (ROM). Changes in interhemispheric inhibition (IHI) were assessed using transcranial magnetic stimulation.

resultsPost-treatment assessments indicated that the FMA-UE scores significantly increased in both groups, with the bilateral group exhibiting more pronounced improvements (p = 0.031; ηp

conclusionBilateral training is more effective than unilateral training in enhancing upper limb function and may contribute to balancing IHI in stroke recovery patients.

Indexed as

CuesParesisStrokeStroke RehabilitationUpper ExtremityAdultAgedDouble-Blind MethodElectromyographyFemaleHumansMaleMiddle AgedRange of Motion, ArticularTranscranial Magnetic Stimulationbilateralhemiparesisinterhemispheric inhibitionstrokeupper extremity

Identifiers

PMID40817662
PMCPMC12623828

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Registered trials

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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.