Ann Rehabil Med.  2014 Aug;38(4):450-457. 10.5535/arm.2014.38.4.450.

Effect of Dominant Hand Paralysis on Quality of Life in Patients With Subacute Stroke

• Nam HU
• Huh JS
• Yoo JN
• Hwang JM
• Lee BJ
• Min YS
• Kim CH
• Jung TD

• KMID: 2165727
• DOI: http://doi.org/10.5535/arm.2014.38.4.450

Abstract

OBJECTIVE
To evaluate the degree to which the paralysis of a dominant hand affects quality of life (QOL) in patients with subacute stroke.
METHODS
We recruited 75 patients with subacute hemiplegic stroke. Patients were divided into two groups according to the location of the lesion and the side of the dominant hand. Group 1 consisted of patients whose strokes affected the dominant hand (i.e., right hemiplegia and right dominant hand or left hemiplegia and left dominant hand). Group 2 consisted of patients whose strokes affected the non-dominant hand (i.e., left hemiplegia and right dominant hand or right hemiplegia and left dominant hand). The primary outcome measure was the Short-Form 36-Item Health Survey (SF-36), which was used to evaluate health-related QOL. Secondary outcomes were scores on the Modified Barthel Index (MBI) and Beck Depression Inventory (BDI).
RESULTS
We did not find any statistically significant differences between the groups in any SF-36 domain including the summaries of physical and mental component. Similarly, the MBI and BDI scores were not significantly different between the groups.
CONCLUSION
The effect of paralysis on the dominant hand and QOL in patients with subacute stroke was not significantly different from the effect of paralysis on the non-dominant hand.

Keyword

Dominance; Quality of life; Stroke

MeSH Terms

Depression
Hand*
Health Surveys
Hemiplegia
Humans
Outcome Assessment (Health Care)
Paralysis*
Quality of Life*
Stroke*

Figure

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  Fig. 1 Flow chart of the patient selection process.

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  Fig. 2 Comparison of the physical and mental components of the SF-36 in the groups with paralysis of dominant hand (n=31, circle) and non-dominant hand (n=44, square) revealed no significant differences between the groups. PF, physical function; RP, role physical; BP, bodily pain; GH, general health; PCS, physical component summary; VT, vitality; SF, social function; RE, role emotional; MH, mental health; MCS, mental component summary.

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