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Bilateral Arm Training With Rhythmic Auditory Cueing in Chronic Stroke: Not Always Efficacious
Lorie G. Richards, PhD1*,
Claudia R. Senesac, PhD2,
Sandra B. Davis3,
Michelle L. Woodbury, PhD1,
and
Stephen E. Nadeau, MD4
1 Brain Rehabilitation Research Center, North Florida/South Georgia Veterans Health System, and the Occupational Therapy Dept, Univ of Florida, Gainesville, FL
2 Brain Rehabilitation Research Center, North Florida/South Georgia Veterans Health System, and the Physical Therapy Dept, Univ of Florida, Gainesville, Florida
3 Brain Rehabilitation Research Center, North Florida/South Georgia Veterans Health System, Gainesville, Florida
4 Brain Rehabilitation Research Center, North Florida/South Georgia Veterans Health System, and the Neurology Department, University of Florida, Gainesville, FL
* To whom correspondence should be addressed. E-mail: lrichard{at}phhp.ufl.edu.
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Abstract |
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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.
First published on July 27, 2007, doi:10.1177/1545968307305355
Neurorehabilitation and Neural Repair 2008;22:180.
A more recent version of this article appeared on April 1, 2008
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