Effects of Combining Cognitive Behavioral Therapy with Bilateral Upper Limb Training in Stroke Patients: A Randomized Controlled Trial

Table 2

Occupation-based bilateral upper limb training.

Brunnstrom recovery stage (BRS)	Activity	Use of bilateral upper limbs
3	Washing dishes	(i) To use the hemiplegic limb to push down the dishes to fix their positions and to use the nonhemiplegic limb to do the scrubbing
	Dressing	(ii) To use the nonhemiplegic limb to fix the sleeve downwards and to use the hemiplegic limb to stretch into the sleeve
	Cleaning the table	(iii) To use the hemiplegic limb to fix the cloth and to use the nonhemiplegic limb to assist the hemiplegic limb in moving forward and backward while wiping the surface of the table
4	Making a grain powder drink	(i) To use the hemiplegic limb to pull open the refrigerator and to use the nonhemiplegic limb to take out the grain powder
	Washing dishes	(ii) To use the nonhemiplegic limb to hold the sponge and to use the palm of the hemiplegic limb to squeeze out the washing up liquid
	Doing skincare	(iii) To use the hand of the hemiplegic limb to squeeze out the lotion onto the hand of the nonhemiplegic limb and then to use both hands to apply the lotion onto the face
5	Setting the table	(i) To use the nonhemiplegic limb to fix the position of the container and to use the hemiplegic limb to open the cover-style lid of the container
	Washing dishes	(ii) To use the hemiplegic limb to hold the dish and to use the nonhemiplegic limb to do the scrubbing
	Hand washing	(iii) To use both hands to wash a pair of socks by rubbing them together
6	Reading a book	(i) To use the nonhemiplegic limb to fix the position of the book and to use the hemiplegic limb to turn the pages
	Using a computer	(ii) To use both hands to type up a simple document using the keyboard
	Cleaning the house	(iii) To use both hands to wring a wet cloth to squeeze out the water