Anderson, A orcid.org/0000-0002-4048-6880, Alexanders, J, Addington, C et al. (1 more author) (2019) The effects of unimanual and bimanual massed practice on upper limb function in adults with cervical spinal cord injury: a systematic review. Physiotherapy, 105 (2). pp. 200-213. ISSN 0031-9406
Abstract
Background
Individuals with cervical spinal cord injury (cSCI) have identified improving upper limb function as their most important rehabilitation goal. Unimanual massed practice (UMP) and bimanual massed practice (BMP) may help achieve this.
Objectives
To evaluate and compare the effects of UMP and BMP on upper limb function in adults with cSCI.
Data sources
Cochrane Central Register of Controlled Trials, PubMed, CINAHL, Web of Science and PEDro until April 2016.
Study selection
Studies investigating the effects of UMP and/or BMP on upper limb function in adults with cSCI.
Data extraction and synthesis
Data was extracted using a standardised form. Studies were appraised using a modified version of the Cochrane risk of bias tool. The findings were qualitatively synthesised.
Results
Five randomised controlled trials and two case studies were included. Six studies included UMP, three included BMP, and two compared these approaches. Overall the studies reported that UMP and BMP improved upper limb function, particularly when combined with electrical stimulation, with no clear differences between UMP and BMP. These findings should be interpreted with caution however, as six studies presented a high or unclear risk of bias for all functional upper limb outcome measures included, and the remaining study was a small pilot study with no control group.
Conclusion
Although the findings of the included studies support the use of UMP and BMP in adults with cSCI, only seven studies, all with significant limitations, were included; hence robust conclusions cannot be drawn and further research is warranted.
PROSPERO registration number: CRD42016037365
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2018 Chartered Society of Physiotherapy. Published by Elsevier Ltd. This is an author produced version of a paper published in Physiotherapy. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Systematic review; Unimanual; Bimanual; Massed practice; Cervical Spinal Cord Injury; Upper Limb Function |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Biological Sciences (Leeds) > School of Biomedical Sciences (Leeds) The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Healthcare (Leeds) > Nursing Adult (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 24 Oct 2018 15:19 |
Last Modified: | 18 Oct 2019 00:38 |
Status: | Published |
Publisher: | Elsevier Ltd |
Identification Number: | 10.1016/j.physio.2018.10.003 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:137613 |