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Does bilateral upper limb training improve upper limb function following stroke?

Prepared by:

Alison Pearce
Occupational Therapist
Bankstown-Lidcombe Hospital
NSW, Australia
alison.pearce@swsahs.nsw.gov.au

Date:

April 2003

Review Date:

April 2004

Clinical Question:

What is the evidence that bilateral training of the upper limb is more effective than any other movement therapy for adults following stroke?

Clinical Scenario:

The use of bilateral training techniques with the upper limb following stroke has been advocated recently as new theories of neural plasticity have developed. What is the evidence that this training technique improves functional movement?

Clinical Bottom Line:

Bilateral upper limb training does not have a statistically or clinically significantly greater impact on upper limb motor recovery following stroke than other movement therapies for those with dense hemiplegia or near-complete to complete recovery from hemiplegia, however existing studies of good quality have not examined its impact on those with moderate hemiplegia.

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