Functional recovery of the paretic upper extremity eludes the majority of patients post stroke. Although many tasks require the coordinated participation of both hands, rehabilitation strategies for the most part have focused on the paretic limb. This article reviews the behavioral basis of bimanual coordination both in health and after stroke hemiparesis and reviews clinical research studies t...

BACKGROUND Children with cerebral palsy (CP) require individualized long-term management to maintain and improve motor functions. The objective of this study was to explore potential effects of synchronized metronome training (SMT) on movement kinematics in two children diagnosed with spastic hemiplegic CP (HCP). METHOD Both children underwent 4-weeks/12 sessions of SMT by means of the Intera...

Engaging in musical training has been shown to result in long-term cognitive benefits. The authors examined whether basic cognitive-motor processes differ in people with extensive musical training and in nonmusicians. Musicians (n = 20) and nonmusicians (n = 20) performed a simple reaction time (RT) task under unimanual and bimanual conditions. Musicians' RTs were faster overall than were those...

The present study tried to determine the effects of musical training on interhemispheric interactions. Nine younger adults were trained for 30 minutes a day for one month using the drum controller on The BeatlesTM: Rock BandTM and compared to 8 controls. Preand post-tests included unimanual and bimanual tapping tasks as well as a letter matching task. These tests aimed to measure unimanual stab...

Objectives: Upper limb motor impairment causes limited activities of daily living in stroke survivors. Bimanual therapy is based on Bimanual movement that facilitates cortical balancing by simultaneous movement of paretic and non-paretic arms while performing a task. Studies aimed at exploring the effects of resisted Bimanual therapy with rhythmic auditory cues on arm function, balance, and end...

Bilateral movement rehabilitation is gaining popularity as an approach to improve the recovery not only of bimanual function but also of unilateral motor tasks. While the neural mechanisms mediating the transfer of bilateral training gains into unimanual contexts are not fully understood, converging evidence from behavioral, neurophysiological, and imaging studies suggests that bimanual movemen...

INTRODUCTION Children with congenital hemiplegia often present with limitations in using their impaired upper limb which impacts on independence in activities of daily living, societal participation and quality of life. Traditional therapy has adopted a bimanual training approach (BIM) and more recently, modified constraint induced movement therapy (mCIMT) has emerged as a promising unimanual a...

This study explored the feasibility and preliminary effectiveness of a short (one week) intensive intervention combining Constraint Induced Movement Therapy (CIMT) and bimanual training (BiT) to improve upper limb capacity and bimanual performance guided by individual goal setting in children and adolescents with unilateral cerebral palsy aged 8-18 years. Self-management training was added to t...

Human subjects easily adapt to single dynamic or visuomotor perturbations. In contrast, when two opposing dynamic or visuomotor perturbations are presented sequentially, interference is often observed. We examined the effect of bimanual movement context on interference between opposing perturbations using pairs of contexts, in which the relative direction of movement between the two arms was di...