Effect of motor training involving the less-affected side (MTLA) in post-stroke subjects: a pilot randomized controlled trial

Introduction: Poststroke, less-severe motor impairment occurs on the ipsilesional side of body. The objective of the present study was to evaluate the effectiveness of the motor training involving the less-affected side (MTLA) in stroke. Methods: This was a randomized, controlled, double-blinded pil...

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Bibliographic Details
Published in:Topics in stroke rehabilitation 2015-10, Vol.22 (5), p.357-367
Main Authors: Pandian, Shanta, Arya, Kamal Narayan, Kumar, Dharmendra
Format: Article
Language:English
Subjects:
Adult
Aged
Bimanual training
Double-Blind Method
Female
Functional Laterality
Hemiparesis
Humans
Ipsilesional side
Less-affected side
Male
Middle Aged
Motor ability
Motor Skills
Motor training
Muscle Contraction
Muscle Strength
Muscle, Skeletal - physiopathology
Occupational Therapy
Physical Education and Training - methods
Pilot Projects
PRE
Recovery of Function
Rehabilitation
Stroke
Stroke - physiopathology
Stroke Rehabilitation
Treatment Outcome
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Summary:Introduction: Poststroke, less-severe motor impairment occurs on the ipsilesional side of body. The objective of the present study was to evaluate the effectiveness of the motor training involving the less-affected side (MTLA) in stroke. Methods: This was a randomized, controlled, double-blinded pilot study conducted in the occupational therapy unit of a rehabilitation Institute. A convenience sample of 35 stroke subjects (mean poststroke duration, 28.76 weeks) was randomized into two groups (the experimental group: 17 and control group: 18). Thirty-two participants completed the entire study protocol. The experimental group and control group were provided MTLA and neurophysiological-based conventional therapy respectively. Both the groups received 24 treatment sessions (60 minutes each) over the period of two months. The Affected side was assessed using Brunnstrom recovery stage (BRS) and Fugl-Meyer assessment (FMA) whereas the less-affected side was evaluated by Minnesota manual dexterity test (MMDT), Purdue peg board test (PPBT) and Manual Muscle Testing (MMT). Results: Postintervention, the less-affected side of experimental group demonstrated significant improvement for MMDT (P = 0.003), PPBT (P = 0.01) and MMT (P 
ISSN:1074-9357
1945-5119
DOI:10.1179/1074935714Z.0000000022