Characteristics Associated with the Differential Activity of Nondominant and Dominant Affected Hands in Patients with Poststroke Right Hemiparesis
Objectives. Spontaneous arm use in patients with poststroke hemiparesis is crucial to the recovery of functional interaction. Patients with stroke and subsequent right hemiparesis have more difficulty adapting to a right-handed environment. The aim of this study was to use wearable devices to assess...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Occupational Therapy International |
| Online Access: | http://dx.doi.org/10.1155/2020/2387378 |
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| author | Jen-Pei Lee Shuya Chen Chien-Tsung Tsai Hsu-Chih Chung Wen-Dien Chang |
| author_facet | Jen-Pei Lee Shuya Chen Chien-Tsung Tsai Hsu-Chih Chung Wen-Dien Chang |
| author_sort | Jen-Pei Lee |
| collection | DOAJ |
| description | Objectives. Spontaneous arm use in patients with poststroke hemiparesis is crucial to the recovery of functional interaction. Patients with stroke and subsequent right hemiparesis have more difficulty adapting to a right-handed environment. The aim of this study was to use wearable devices to assess the asymmetry and difference in the amount of activity of the nondominant and dominant affected hands among patients with stroke and right hemiparesis. The real activity of both hands was measured to assess the correlation with various aspects of the International Classification of Functioning, Disability and Health (ICF). Subjects and Methods. Patients with stroke and right hemiparesis were recruited. They were divided into two groups according to the affected hand. Groups A and B comprised patients with affected nondominant and dominant hands, respectively. The Fugl-Meyer assessment-Upper Extremity (FM-UE) scores, Motor Activity Log (MAL), and hand function domain scores on the Stroke Impact Scale (SIS) were used for assessment. Patients were asked to wear smart wearable devices on both hands 24 hours a day for a month. The amount of activity in both hands was recorded and analyzed. Results. A total of 29 patients with stroke were divided into group A (n=14) and group B (n=15). FM-UE scores were significantly and strongly correlated with the amount of use (AOU) in the MAL. The recorded differential real activity of both hands in group B was significantly lower than that in group A. The asymmetry index of hand use was significantly less favorable in group B. However, no significant differences in AOU in the MAL, FM-UE, and hand function domain in the SIS were identified between the nondominant and dominant affected hands. Conclusions. The asymmetry and differential activity of both hands were worse in the patients with poststroke right hemiparesis, whose dominant hand was affected. However, no differences of three aspects of the ICF were found between dominant and nondominant affected hands. |
| format | Article |
| id | doaj-art-b8d437c11d2047ecbc30b656ed56a3b3 |
| institution | DOAJ |
| issn | 0966-7903 1557-0703 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Occupational Therapy International |
| spelling | doaj-art-b8d437c11d2047ecbc30b656ed56a3b32025-08-20T03:22:49ZengWileyOccupational Therapy International0966-79031557-07032020-01-01202010.1155/2020/23873782387378Characteristics Associated with the Differential Activity of Nondominant and Dominant Affected Hands in Patients with Poststroke Right HemiparesisJen-Pei Lee0Shuya Chen1Chien-Tsung Tsai2Hsu-Chih Chung3Wen-Dien Chang4Department of Neurosurgery, Da-Chien General Hospital, Miaoli, TaiwanDepartment of Physical Therapy, China Medical University, Taichung, TaiwanDepartment of Rehabilitation, Da-Chien General Hospital, Miaoli, TaiwanDepartment of Rehabilitation, Da-Chien General Hospital, Miaoli, TaiwanDepartment of Sport Performance, National Taiwan University of Sport, Taichung, TaiwanObjectives. Spontaneous arm use in patients with poststroke hemiparesis is crucial to the recovery of functional interaction. Patients with stroke and subsequent right hemiparesis have more difficulty adapting to a right-handed environment. The aim of this study was to use wearable devices to assess the asymmetry and difference in the amount of activity of the nondominant and dominant affected hands among patients with stroke and right hemiparesis. The real activity of both hands was measured to assess the correlation with various aspects of the International Classification of Functioning, Disability and Health (ICF). Subjects and Methods. Patients with stroke and right hemiparesis were recruited. They were divided into two groups according to the affected hand. Groups A and B comprised patients with affected nondominant and dominant hands, respectively. The Fugl-Meyer assessment-Upper Extremity (FM-UE) scores, Motor Activity Log (MAL), and hand function domain scores on the Stroke Impact Scale (SIS) were used for assessment. Patients were asked to wear smart wearable devices on both hands 24 hours a day for a month. The amount of activity in both hands was recorded and analyzed. Results. A total of 29 patients with stroke were divided into group A (n=14) and group B (n=15). FM-UE scores were significantly and strongly correlated with the amount of use (AOU) in the MAL. The recorded differential real activity of both hands in group B was significantly lower than that in group A. The asymmetry index of hand use was significantly less favorable in group B. However, no significant differences in AOU in the MAL, FM-UE, and hand function domain in the SIS were identified between the nondominant and dominant affected hands. Conclusions. The asymmetry and differential activity of both hands were worse in the patients with poststroke right hemiparesis, whose dominant hand was affected. However, no differences of three aspects of the ICF were found between dominant and nondominant affected hands.http://dx.doi.org/10.1155/2020/2387378 |
| spellingShingle | Jen-Pei Lee Shuya Chen Chien-Tsung Tsai Hsu-Chih Chung Wen-Dien Chang Characteristics Associated with the Differential Activity of Nondominant and Dominant Affected Hands in Patients with Poststroke Right Hemiparesis Occupational Therapy International |
| title | Characteristics Associated with the Differential Activity of Nondominant and Dominant Affected Hands in Patients with Poststroke Right Hemiparesis |
| title_full | Characteristics Associated with the Differential Activity of Nondominant and Dominant Affected Hands in Patients with Poststroke Right Hemiparesis |
| title_fullStr | Characteristics Associated with the Differential Activity of Nondominant and Dominant Affected Hands in Patients with Poststroke Right Hemiparesis |
| title_full_unstemmed | Characteristics Associated with the Differential Activity of Nondominant and Dominant Affected Hands in Patients with Poststroke Right Hemiparesis |
| title_short | Characteristics Associated with the Differential Activity of Nondominant and Dominant Affected Hands in Patients with Poststroke Right Hemiparesis |
| title_sort | characteristics associated with the differential activity of nondominant and dominant affected hands in patients with poststroke right hemiparesis |
| url | http://dx.doi.org/10.1155/2020/2387378 |
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