The effect of bilateral trainings on upper extremities muscle activation on level of motor function in stroke patients

Kyung Min Lim1), Jinhwa Jung2), Sunhwa Shim3)

1) Department of Occupational Therapy, Yonsei University, Republic of Korea 

2) Department of Occupational Therapy, Semyung University: 65 Semyung-ro, Jecheon-si, Chungbuk 390-711, Republic of Korea 

3) Department of Occupational Therapy, College of Medical Science, Jeonju University: 303 Cheonjam-ro, Wansan-gu, Jeonju-si 55069, Republic of Korea

FULL TEXT

[Purpose] This study was conducted in order to compare muscle activation level on the affected and unaffected limb according to the recovery level of upper limb between bilateral activity with hands clasped and bilateral activity with pilates ring. 

[Subjects and Methods] Twenty inpatient who have had a stroke were recruited. Subjects were divided into two groups by the Fugl-Meyer Assessment of Motor Function score of moderately recovered group and well recovered group. The muscles activation of upper extremity and Co-Contraction Ratio (CCR) were analyzed. 

[Results] In the muscles activation of the well group, trapezius, anterior deltoid, and triceps muscles of affected side and biceps muscles of both sides were significantly higher when activity with pilates ring than activity with hands clasped. CCR of both side in the well group was significantly decreased during activity with pilates ring and in the moderate group, CCR of affected side was significantly decreased during activity with pilates ring. 

[Conclusion] Bilateral activity with a pilates ring is more effective than activity with hands clasped for the facilitation of muscle activation and coordination in stroke patients.