J Korean Phys Ther.  2018 Dec;30(6):234-238. 10.18857/jkpt.2018.30.6.234.

Relationship between Ipsilateral Motor Deficits on the Less-Affected Side and Motor Function Stage on the Affected Side

Affiliations
  • 1Department of Physical Therapy, College of Health Science, Cheongju University, Cheongju, Korea.
  • 2Physical therapist, Respiratory Rehabilitation center, Yeungnam University Medical Center, Daegu, Korea. wearejjang@hanmail.net
  • 3Department of Physical Therapy, Yeongnam University College, Daegu, Korea.
  • 4Physical therapist, Department of Physical Therapy, Chonbuk National Hospital, Jeonju, Korea.

Abstract

PURPOSE
Aim of this study was to investigate whether there are ipsilateral motor deficits for visuospatial accuracy and fine movements by making a comparison between stroke patients and healthy subjects. We examined whether ipsilateral motor deficits are influenced by the level of functional movements and muscle strength of the upper and lower extremities of the affected side.
METHODS
Thirty post-stroke subjects and 20 normal aged matched subjects were recruited. Outcome measures for less-affected side were the tracking task and nine-hole pegboard test. Fugl-Meyer test and motricity index were applied for the measurement of functional movements and muscle strength of affected side.
RESULTS
Tracking task and nine-hole pegboard test was significantly different between control and experimental group. In terms of accuracy index according to tracking, the experimental group showed a lower accuracy index in the MCP joint than the control group. However, there were no significant difference relation between the level of motor function of the affected side and the motor deficit level of ipsilateral side.
CONCLUSION
Ipsilateral motor deficits may have significant clinical implications. It needs to be noted that although many patients, families, and medical staff are focused only on motor deficits of the affected side, motor deficits of the sound side can cause difficulties in daily living movements requiring delicate movements. In addition, there was no significant correlation between the level of motor function of the affected side and motor deficits of the sound side.

Keyword

Ipsilateral motor deficits; Less affected side; Stroke; Hemiparesis

MeSH Terms

Healthy Volunteers
Humans
Joints
Lower Extremity
Medical Staff
Muscle Strength
Outcome Assessment (Health Care)
Paresis
Stroke
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