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This version was published on April 1, 2008
Neurorehabilitation and Neural Repair, Vol. 22, No. 2, 180-184 (2008)
DOI: 10.1177/1545968307305355

Bilateral Arm Training With Rhythmic Auditory Cueing in Chronic Stroke: Not Always Efficacious

Lorie G. Richards, PhD

Brain Rehabilitation Research Center, North Florida/ South Georgia Veterans Health System, Occupational Therapy Department University of Florida, lrichard{at}phhp.ufl.edu

Claudia R. Senesac, PhD

Brain Rehabilitation Research Center, North Florida/ South Georgia Veterans Health System, Physical Therapy Department, University of Florida

Sandra B. Davis

Brain Rehabilitation Research Center, North Florida/ South Georgia Veterans Health System, Rehabilitation Outcomes Research Center, North Florida/South Georgia Veterans Health System, Geriatric Research, Education, and Clinical Center, North Florida/South George Veterans Health System, Neurology Department, University of Florida, Gainesville, Florida

Michelle L. Woodbury, PhD

Brain Rehabilitation Research Center, North Florida/ South Georgia Veterans Health System, Occupational Therapy Department University of Florida

Stephen E. Nadeau, MD

Brain Rehabilitation Research Center, North Florida/ South Georgia Veterans Health System

Objective. Bilateral arm training with rhythmic auditory cueing (BATRAC) has been reported to be efficacious in promoting upper-extremity (UE) recovery in chronic stroke. We tested a modified form of BATRAC (modBATRAC) in a new group of participants with a condensed treatment regime to determine whether we could replicate these reported results. Methods. Fourteen subjects with chronic stroke completed 2 weeks of 2.25 hours per session, 4 sessions per week of modBATRAC. Results. No significant changes were observed in UE Fugl-Meyer or Wolf Motor Function Test scores. Subjects did report increased paretic UE use on the Motor Activity Log (mean change, 0.50; SD = 0.70). Conclusions. The results of this study offer only partial support for the efficacy of modBATRAC. As in previous trials, modBATRAC facilitated increased use of the paretic arm, but unlike previous trials, it did not increase motor performance. These differences may reflect a more temporally condensed training schedule and less impaired patients.

Key Words: Stroke • Rehabilitation • Motor activity.


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