Laterality of Damage Influences the Relationship Between Impairment and Arm Use After Stroke
| Autor: | Kathleen Y. Haaland, Pratik K. Mutha, Goldy Yadav |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Functional impact Motor Activity Severity of Illness Index Functional Laterality Physical medicine and rehabilitation Activities of Daily Living medicine Humans Patient group Stroke Motor assessment Motor ability Paresis Aged Rehabilitation business.industry General Neuroscience Middle Aged medicine.disease Magnetic Resonance Imaging Psychiatry and Mental health Clinical Psychology Laterality Arm Female Neurology (clinical) medicine.symptom business |
| Zdroj: | Journal of the International Neuropsychological Society : JINS. 25(5) |
| ISSN: | 1469-7661 |
| Popis: | Objectives:To investigate whether the relationship between arm use and motor impairment post-stroke is influenced by the hemisphere of damage.Methods:Right-handed patients with unilateral left hemisphere damage (LHD) or right (RHD) (n=58; 28 LHD, 30 RHD) were recruited for this study. The Arm Motor Ability Test and Functional Impact Assessment were used to derive arm use patterns. The Fugl-Meyer motor assessment scale was used to quantify the level of motor impairment.Results:A significant interaction between patient group and impairment level was observed for contralesional, but not ipsilesional arm use. For lower impairment levels, contralesional (right arm for LHD and left arm for RHD) arm use was greater in LHD than RHD patients. In contrast, for greater levels of impairment, there were no arm use differences between the two patient groups.Conclusions:When motor impairment is significant, it overrides potential effects of stroke laterality on the patterns of arm use. However, a robust influence of hemisphere of damage on the patterns of arm use is evident at lower impairment levels. This may be attributed to previously described arm preference effects. These findings suggest adoption of distinct strategies for rehabilitation following leftversusright hemisphere damage in right-handers, at least when the impairment is moderate to low. (JINS, 2019,25, 470–478) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|