Bilateral arm training versus constraint induced therapy on upper limb function in stroke patients: a systematic review and meta-analysis

Authors

  • Wael Salah Tawfik Shendy Department of Neurological Physical Therapy, Faculty of Physical Therapy, Cairo University, Egypt.
  • Dalia Mohammed Mosaad Department of Neurological Physical Therapy, Faculty of Physical Therapy, Cairo University, Egypt.
  • Moataz Mohamed El Semary Department of Neurological Physical Therapy, Faculty of Physical Therapy, Cairo University, Egypt.
  • Amira Mohammed Kamel Ahmed Department of Neurological Physical Therapy, Faculty of Physical Therapy, Cairo University, Egypt.

Keywords:

Systematic Review, Constraint Induced Movement Therapy, Bilateral Arm Training, Stroke Patients

Abstract

Objective: To compare constraint-induced movement therapy (CIMT) and bilateral arm training (BAT) effects on upper limb function (ULF) post-stroke.

Methods: Two authors independently selected trials conducted on adult stroke patients across PEDro, PubMed, Google Scholar, and the Cochrane website. A systematic review of randomized controlled trials (RCTs) was conducted, focusing on CIMT and BAT interventions for ULF post-stroke. Eight trials were recruited based on specific inclusion and exclusion criteria, and the quality of the selected trials was assessed using the Cochrane risk of bias tool and PEDro scale.

Findings: Five trials, conducted with 151 participants, were included in the meta-analysis, evaluating the Motor Activity Log (MAL), amount of use (AOU), quality of movement (QOM), and the Action Research Arm Test (ARAT). All revealed non-significant variations between CIMT and BAT, with high heterogeneity in all tests (I² = 82%, 80%, and 71%, respectively). Primary and secondary ULF outcomes demonstrated patients’ satisfaction.

Conclusions: Both CIMT and BAT offer equal benefits regarding the functional performance of ULF post-stroke.

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Published

2023-11-28

How to Cite

Tawfik Shendy, W. S., Mohammed Mosaad, D., Mohamed El Semary, M., & Kamel Ahmed, A. M. (2023). Bilateral arm training versus constraint induced therapy on upper limb function in stroke patients: a systematic review and meta-analysis. Atena Journal of Public Health, 5, 3. Retrieved from https://atenajournals.com/index.php/ajph/article/view/97

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Vol. 5 (2023)

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