Brain Neurorehabil.  2015 Sep;8(2):96-103. 10.12786/bn.2015.8.2.96.

Comparison of Functions, Activity of Daily Living, and Quality of Life according to Hand Dominance in Stroke

Affiliations
  • 1Department of Rehabilitation Medicine, Pusan National University School of Medicine, Korea. ijsh6679@gmail.com, rmshin@pusan.ac.kr
  • 2Research Institute of Convergence for Biomedical Science and Technology, Pusan National University Yangsan Hospital, Korea.
  • 3Division of Biostatistics, Research Institute of Convergence for Biomedical Science and Technology, Pusan National University Yangsan Hospital, Korea.
  • 4Department of Rehabilitation Medicine, Pusan National University Yangsan Hospital, Korea.
  • 5Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular and Stroke Institute, Samsung Medical Center, Korea.
  • 6Department of Physical and Rehabilitation Medicine, Sungkyunkwan University School of Medicine, Korea.
  • 7Department of Health Sciences and Technology, Samsung Advanced Institute for health Science and Technology, Sungkyunkwan University, Korea.
  • 8Department of Rehabilitation Medicine, Pusan National University Hospital, Korea.

Abstract

OBJECTIVE: We investigated the differences of functions, activity of daily living (ADL), and quality of life (QoL) according to hand dominance in hemiplegic stroke patients. METHOD: The participants were diagnosed as stroke at P hospital. 370 participants (356 right dominant hand, 14 left dominant hand) were right hemisphere stroke, and 258 participants (248 right dominant hand, 10 left dominant hand) were left hemisphere stroke. To compensate the differences of imbalance in the number of participants' hand dominance, we performed the propensity score matching analysis. We analyzed the variation of stroke severity, disability, motor, mobility, cognition and language functions from 7 days until 3 months after onset using analysis of covariance (ANCOVA). Then, we performed independent t-test to compare hand dexterity, ADL, mood, subjective health condition and QoL of participants according to the hand dominance and the affected hemisphere.
RESULTS
All groups showed increased functions during 3 months without statistically significant differences according to hand dominance in both right and left hemisphere stroke patients. In addition, ADL, mood, subjective health condition and QoL were also not significantly different depending on hand dominance in the right and left hemisphere.
CONCLUSION
The difference of hand dominance did not influence stroke severity, disability, motor, mobility, cognition or language functions. It also didn't correlate with ADLs, mood or QoL.

Keyword

activity of daily living; dominance; hand; function; quality of life
Full Text Links
  • BN
Share
  • Twitter
  • Facebook
Copyright © 2020 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr