Bilateral Arm Trainıng with Rhythmic Audıtory Cueing (Batrac) on Upper Extremity Functions and Daily Living Activities with Chronic Stroke

Abstract

Objective: In this study it is aimed to investigate the effect of bilateral arm training with rhythmic auditory cueing (BATRAC) on upper extremity functions, daily living activities and pain with chronic stroke patients. Methods: This study was carried out as a randomized controlled experimental study in 28 patients with stroke were included in this study. The patients were randomly assigned into two groups as an BATRAC (n=15) and control group (n=13). The demographic characteristics, Brunnstrom stage, Modified Ashworth Scale (MAS) and pain degree were recorded in all patients. All patients participated in a conventional rehabilitation program for 3 weeks. The BATRAC group received 20 minute BATRAC for upper extremity for 5 days per week during 3 weeks. The plegic upper extremity motor functions were evaluated by Jebsen Taylor Hand Function Test (JTHFT), Box and Block Test (BBT), daily living activities by Modified Barthel Index (MBI) and pain degree by Visual analogue scale (VAS). All of those evaluations are done before treatment and after 3 weeks of therapy. The data were assessed by Mann Whitney U tests and Wilcoxon tests. Results: Significant improvements were recorded in BBT and JTHFT parameters (turning page, lifting of large heavy objects and backgammon stamping) (p<0.05). No significant alteration was found in MBI and VAS (p>0.05 for all parameters). Conclusion: In conclusion, BATRAC treatment was found effective on upper extremity motor functions in stroke patients. These results suggests that BATRAC treatment can use with conventional therapy in stroke rehabilitation.

Keywords

• STROKE
• UPPER EXTREMITY REHABILITATION
• OCCUPATIONAL THERAPY
• bilateral arm training

Kronik İnmeli Hastalarda Ritmik İşitsel Uyarı İle Bilateral Kol Eğitim Tedavisinin Üst Ekstremite Fonksiyonlarına ve Günlük Yaşam Aktivitelerine Etkisinin Araştırılması

Abstract

Amaç: Bu çalışma ile kronik inmeli hastalarda uygulanan ritmik işitsel uyarı ile bilateral kol eğitiminin (RİUBKE) üst ekstremite fonksiyonları, günlük yaşam aktivitelerine katılım ve ağrı üzerine etkilerinin incelenmesi amaçlanmıştır. Yöntem: Randomize kontrollü bu çalışmaya 28 hasta dahil edildi. Hastalar RİUBKE (n=15) ve kontrol (n=13) olarak iki gruba ayrıldı. Tüm hastaların demografik verileri, Brunnstrom evreleri, Modifiye Ashworth Skalası (MAS) ve ağrı düzeyleri kaydedildi. Hastaların tümü 3 hafta süreyle konvansiyonel terapi programına alındı. Ek olarak RİUBKE grubundaki hastalara, RİUBKE cihazı ile haftanın 5 günü 3 hafta süreyle bilateral üst ekstremite eğitimi uygulandı. Plejik üst ekstremite motor fonksiyonları Jebsen Taylor El Fonksiyon Testi (JTEFT) ve Box and Block Test (BBT) ile, günlük yaşam aktiviteleri Modifiye Barthel İndeks (MBİ) ile, ağrı düzeyleri Görsel Analog Skala (GAS) ile Tüm değerlendirmeler tedavi öncesi ve tedaviden 3 hafta sonra değerlendirildi. Tüm veriler Mann Whitney U testi ve Wilcoxon testi kullanılarak analiz edildi. Bulgular: BBT ve JTEFT’in bazı parametrelerinde (sayfa çevirme, büyük ağır obje kaldırma ve tavla pulu dizme) (p<0,05, tüm parametreler) gelişme kaydedildi. MBİ ve GAS parametrelerinde istatiksel olarak anlamlı fark saptanmadı (p>0,05). Sonuç: RİUBKE ile üst ekstremite bilateral eğitiminin kronik inmeli hastalarda üst ekstremite fonksiyonları üzerine etkili olduğu kanaatine varıldı. Alınan bu sonuçlar inme rehabilitasyonunda RİUBKE ile bilateral eğitimin konvansiyonel tedavilerle birlikte kullanılabileceğini düşündürmektedir.

Keywords

• İNME
• bilateral kol eğitimi
• üst esktremite rehabilitasyonu
• iş-uğraşı tedavisi

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