Effect of bilateral upper limb training after priming upper limb robot training on upper limb function in stroke patients with severe hemiplegia
HE Aiqun
LI Jingbo
LIU Hai'ou
SONG Qiushuang
HE Maoli
LIN Rumin
Abstract：Objective To compare the effect between unilateral and bilateral upper limb training on motor function of severely hemi-plegic upper limbs in subacute stroke patients after priming robot-assisted training.
Methods From September,2023 to December,2024,60 inpatients with hemiplegia after stroke were recruited from Guangdong Work Injury Rehabilitation Hospital,and randomly divided into control group(n=30)and experi-mental group(n=30).Both groups first received 30 minutes of upper limb robot-assisted training.Subsequently,the control group received movement-based unilateral upper limb training for 30 minutes,while the experimental group received activity-based bilateral upper limb training for 30 minutes,for three weeks.They were assessed with Fugl-Meyer Assessment-Upper Extremities(FMA-UE),Hong Kong version of the Functional Test for the Hemiplegic Upper Extremity(FTHUE-HK)and modified Barthel Index(MBI)before and after treatment.
Results The scores of FMA-UE,FTHUE-HK and MBI improved in both groups after treatment(t>4.020,P<0.01),and all the scores were better in the experimental group than in the control group(t>2.456,P<0.05).
Conclusion Activity-based bilateral upper limb training after priming robot-assisted training is more effective on motor function of severely hemiplegic upper limbs in stroke patients.
Keywords：strokehemiplegiaupper limbmotor functionrobot-assisted trainingbilateral upper limb training
Publication Date：2025-11-25
Online Publishing Date：2025-12-03(First online date of this platform, not the publication date of the document)
Pages：6( 1265-1270 )