Influences of hand dominance on the maintenance of benefits after home-based modified constraint-induced movement therapy in individuals with stroke

Lima, Ronaldo Cintra; Nascimento, Lucas Rodrigues; Michaelsen, Stella Maris; Polese, Janaíne Cunha; Pereira, Natália Duarte; Teixeira-Salmela, Luci Fuscaldi

doi:10.1590/bjpt-rbf.2014.0050

Cited by 18 publications

(23 citation statements)

References 31 publications

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“…When the cohort was divided into 2 groups, the median scores for the motor and sensory abilities and functional ability of the affected dominant UE were not statistically significant different than the affected nondominant UE. These findings support previous studies of 22 participants with subacute stroke 36 and 93 participants with chronic stroke. 13 Significant improvements between T1 and T2 were seen in motor and functional ability, daily use, and perceived recovery in both affected UEs.…”

Section: Discussionsupporting

confidence: 92%

Improvement of the Upper Extremity at the Subacute Stage Poststroke: Does Hand Dominance Play a Role?

Assadi

Gross-Nevo

Dudkiewicz

et al. 2020

Neurorehabil Neural Repair

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Background The impact of hand dominance on the expected (motor and functional ability and daily use) improvement of the affected upper extremity (UE) in subacute stroke has not yet been investigated. Objectives To compare between the affected dominant and affected nondominant UE (1) on rehabilitation admission (T1) for motor and sensory abilities, functional ability, and daily use and (2) 6 weeks poststroke onset (T2) and the UE recovery between T1 and T2 regarding percent change, improvement effect size, and percent of participants achieving minimal clinical important difference (MCID). Methods Multicenter longitudinal study. Results Thirty-eight participants with affected dominant and 51 participants with affected nondominant UE were recruited. On T1 and T2, between-group differences were not seen for all UE variables. Significant improvement in the motor and functional ability, daily use, and perceived recovery between T1 and T2 were seen for the affected dominant ( z = −3.01 to −4.13, P < .01) and nondominant UEs ( z = −4.59 to −5.32, P < .01). Effect size improvement values were moderate and large in the affected dominant and nondominant UE (respectively). In addition, 14% to 40% of the participants in both UEs achieved MCID. Conclusions Significant and similar clinical meaningfulness in UE improvement can be expected during subacute rehabilitation; however, improvement magnitude and percent improvement is different for the UE domains of the affected dominant and the affected nondominant UEs. These findings highlight the distinct roles of the dominant and nondominant hands during bimanual daily activities, which can guide clinicians during stroke rehabilitation.

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Section: Discussionsupporting

confidence: 92%

Improvement of the Upper Extremity at the Subacute Stage Poststroke: Does Hand Dominance Play a Role?

Assadi

Gross-Nevo

Dudkiewicz

et al. 2020

Neurorehabil Neural Repair

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“…To achieve this, trunk stability is needed for maintaining balance and posture while moving the upper extremity [ 12 ]. However, stroke patients have reduced trunk stability, resulting in the upper extremity being unable to reach the target, compensation for flexion, rotation of the trunk to compensate for insufficient distances, and reduced circumstances in which the shoulders and elbows can vary in length [ 13 ]. Decreased trunk stability in stroke patients is also a problem when performing upper extremity training with visual feedback [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Trunk Stability Training Based on Visual Feedback on Trunk Stability, Balance, and Upper Limb Function in Stroke Patients: A Randomized Control Trial

et al. 2021

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This study aimed to investigate the effects of trunk stability training based on visual feedback on trunk stability, balance, and upper limb function in patients with stroke. Twenty-eight patients with chronic stroke were randomly assigned to either a trunk support group (n = 14) or a trunk restraint group (n = 14) that practiced upper limb training with trunk support and trunk restraint, respectively, based on visual feedback for 30 min per day, three times per week, for 4 weeks. The postural assessment scale for stroke (PASS) was used to assess the stability of patients, and the functional reaching test (FRT) was performed to assess balance. To assess upper extremity function, a range of motion (ROM) test, manual muscle testing (MMT), and Fugl–Meyer assessment-upper limb (FMA-upper limb) were performed. Consequently, both groups showed significant differences before and after training in the PASS, FRT, shoulder flexion ROM, triceps brachii MMT, and FMA-upper limb (p < 0.05), while the trunk support group showed more significant improvements than the trunk restraint group in the PASS, FRT, and FMA-upper limb (p < 0.05). Trunk support-based upper limb training effectively improved trunk stability, balance, and upper limb function and is beneficial as an upper limb training method. Providing trunk support is more effective than restricting the trunk; trunk support-based upper limb training is expected to promote voluntary participation when combined with visual feedback.

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“…Studies demonstrated that having a stroke affecting the dominant hand might be associated with unfavourable functional outcomes at the acute stage. However, in subacute and chronic phases, it is suggested that there is no significant difference in functional improvement among individuals with dominant or non‐dominant paralyses post‐stroke (Lima et al, ; Nam et al, ; Daou et al, ). Using client‐centred tools such as Canadian occupational performance measure (COPM), individuals post‐stroke tend to setup rehabilitation goals influenced by their stroke severity more than their handedness (Waddell et al, ).…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Occupational Therapy Task‐oriented Approach in Upper Extremity Post‐stroke Rehabilitation

Almhdawi

Mathiowetz

White

et al. 2016

Occupation Therapy Intl

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There is a need for more effective rehabilitation methods for individuals post-stroke. Occupational Therapy Task-Oriented (TO) approach has not been evaluated in a randomized clinical trial. The purpose of this study was to evaluate functional and impairment efficacies of TO approach on the more-affected Upper Extremity (UE) of persons post-stroke. A randomized single-blinded cross-over trial recruited 20 participants post-stroke (mean chronicity = 62 months) who demonstrated at least 10° active more-affected shoulder flexion and abduction and elbow flexion-extension. Participants were randomized into immediate (n = 10) and delayed intervention (n = 10) groups. Immediate group had 6 weeks of 3 hr/week TO intervention followed by 6 weeks of no-intervention control. Delayed intervention group underwent the reversed order. Functional measures included Canadian Occupational Performance Measure (COPM), Motor Activity Log (MAL), and Wolf Motor Function Test (WMFT). Impairment measures included UE Active Range of Motion (AROM) and handheld dynamometry strength. Measurements were obtained at baseline, cross over, and end of the study. TO intervention showed statistically higher functional change scores. COPM performance and satisfaction scores were 2.83 and 3.46 units greater respectively (p < .001), MAL amount of use and quality of use scores were 1.1 and 0.87 units greater, respectively (p < .001), WMFT time was 8.35 seconds faster (p = .009). TO impairment outcomes were not significantly larger than control ones. TO approach appears to be an effective UE post-stroke rehabilitation approach inducing clinically meaningful functional improvements. More studies are needed with larger samples and specific stroke chronicity and severity. Copyright © 2016 John Wiley & Sons, Ltd.

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Influences of hand dominance on the maintenance of benefits after home-based modified constraint-induced movement therapy in individuals with stroke

Cited by 18 publications

References 31 publications

Improvement of the Upper Extremity at the Subacute Stage Poststroke: Does Hand Dominance Play a Role?

Improvement of the Upper Extremity at the Subacute Stage Poststroke: Does Hand Dominance Play a Role?

The Effect of Trunk Stability Training Based on Visual Feedback on Trunk Stability, Balance, and Upper Limb Function in Stroke Patients: A Randomized Control Trial

Efficacy of Occupational Therapy Task‐oriented Approach in Upper Extremity Post‐stroke Rehabilitation

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