Ritika Srivastava¹, Riti Mohanty², Akhyova Sahoo³, Priyanka Kar² and Birupakshya Mahakul⁴

¹Clinical Physiotherapist (Neuro), Apollo clinic, Kolkata, India
²Associate Professor, Hi-Tech College of Physiotherapy, Bhubaneswar, India
³Associate Professor, KIMS School of Physiotherapy, KIIT-DU, India
⁴Principal, KIMS School of Physiotherapy, KIIT-DU, India

*Corresponding Author: Riti Mohanty, Associate Professor, Hi-Tech College of Physiotherapy, Bhubaneswar, India.

Received: October 21, 2025; Published: November 14, 2025

Abstract

The goal of the research was to compare the responsibility of unilateral training and bilateral training in enhancing the recovery of the motor functioning of the upper limb in the patient with hemiparesis who suffered an acute stroke. A quasi-experimental principal study using pre and post intervention evaluation was conducted in a sample of 62 patients taking acute ischemic or hemorrhagic stroke. The participants were randomly found to be in either a unilateral or bilateral training group where they were trained in 1 hour 45 minutes and 5 days a week with a 4-week training. The Motor Assessment Scale (MAS), Motor Status Scale (MSS), manual shoulder and wrist strength measurements were used to measure motor function. The statistical analysis, t-tests, and multiple regression results revealed that the bilateral training group had a significant improvement of range of motion, coordination, and strength post-intervention (p < 0.05). The regression identified that Effectiveness of Bilateral Training (B = 0.42, p < 0.001) and Patient Perception and Acceptance (B = 0.29, p = 0.001) were significant predictors of recovery of stroke patients whereas the Preference of Unilateral Training (B = -0.31, p = 0.001) was found to exhibit negative relationship with the outcomes. The data evidence that the bilateral training in functional plasticity, interlimb coordination and neuroplasticity is more successful in causing functionality than the one sided methods. The research recommends bilateral plus task specific exercises as a fundamental rehabilitation measure in hemiparesis secondary to stroke.

Keywords: Stroke Rehabilitation; Bilateral Training; Unilateral Training; Hemiparesis; Motor Recovery

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Citation

Citation: Riti Mohanty., et al. “Effectiveness of Unilateral Versus Bilateral Training for Hemiparesis in Acute Stroke Patients".Acta Scientific Neurology 8.12 (2025): 18-33.

Copyright

Copyright: © 2025 Riti Mohanty.,et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.