Impact of Dominance in Early Functional Mobility in Stroke Survivors
Year 2025,
Volume: 8 Issue: 2, 182 - 191
Kanchan Gosavi
,
Sandeep Shinde
,
Sawani Aphale
Abstract
Purpose : Stroke is a major cause of mortality and causes significant impairment of functional mobility, regardless of whether it affects the dominant or non-dominant side, can increase future health risks. Our study purpose was to determine the impact of dominance in functional mobility impairment on stroke survivors. Methods: The research was conducted at Krishna College of Physiotherapy, Karad, involving 132 stroke patients, both male and female, with either left or right side affected by stroke. Participants were selected by random sampling based on predefined inclusion and exclusion criteria. They were evaluated using the Functional Independence Measure Scale (FIMS) and the Barthel Index Scale (BI). Collected data were analysed by SPSS version 26.0. Results: The study evaluated about functional mobility impairment on the dominant and non-dominant sides on the 1st and 45th day post-stroke. For Barthel index assessment, group B had significant improvement ( p <0.0001 ) than group A(p<0.2846) There was more improvement of Functional Mobility seen in the group B (p <0.0001) for Functional Independence Measure ) affected Stroke survivors than compared to group A (p 0.0004) for Functional Independence Measure). Between group analysis for post test measurements was (p<0.0001) for both BI and FIMS showing significant differences. Conclusion: This study revealed that, 45 days post-stroke, functional mobility was significantly impaired in survivors of stroke with dominant side affected compared to the non-dominant side.
Ethical Statement
The Institutional Ethical Committee has approved this study.
Supporting Institution
Krishna Institute of Medical Sciences, Deemed To Be University, Karad
Project Number
047/2022-2023
References
- Bonato, M., Romeo, Z., Blini, E., Pitteri, M., Durgoni, E., Passarini, L., & Zorzi, M. (2019). Ipsilesional impairments of visual awareness after right-hemispheric stroke. Frontiers in Psychology, 10, 697. [PubMed]
- Bourbonnais, D., Bilodeau, S., Cross, P., Lemay, J. F., Caron, S., & Goyette, M. (1997). A motor reeducation program aimed to improve strength and coordination of the upper limb of a hemiparetic subject. Neurorehabilitation, 9(1), 3-15,[PubMed]
- Brosseau, L., Potvin, L., Philippe, P., Boulanger, Y. L., & Dutil, E. (1996). The construct validity of the Functional Independence Measure as applied to stroke patients. Physiotherapy Theory and Practice, 12(3), 161-171. [CrossRef]
- Buvarp, D., Rafsten, L., & Sunnerhagen, K. S. (2020). Predicting longitudinal progression in functional mobility after stroke: a prospective cohort study. Stroke, 51(7), 2179-2187. [PubMed]
- Chatterjee, S. A., Daly, J. J., Porges, E. C., Fox, E. J., Rose, D. K., McGuirk, T. E., & Clark, D. J. (2018). Mobility function and recovery after stroke: preliminary insights from sympathetic nervous system activity. Journal of Neurologic Physical Therapy, 42(4), 224-232. [PubMed]
- Cramer, S. C., Richards, L. G., Bernhardt, J., & Duncan, P. (2023). Cognitive deficits after stroke. Stroke, 54(1), 5-9.[PubMed]
- Dolaş, Şerafettin, & Toptaş Demirci, P. (2023). Effects of Social Isolation During COVID-19 Quarantine on Level Physical Activity and Health of Elderly People. International Journal of Active & Healthy Aging, 1(1), 14–20. [CrossRef]
- Ellepola, S., Nadeesha, N., Jayawickrama, I., Wijesundara, A., Karunathilaka, N., & Jayasekara, P. (2022). Quality of life and physical activities of daily living among stroke survivors; cross-sectional study. Nursing Open, 9(3), 1635–1642. [PubMed]
- Gündüz, O. H., & Toprak, C. Ş. (2019). Hand function in stroke. In Hand function: A practical guide to assessment (pp. 125-135). [PubMed]
- Harris, J. E., & Eng, J. J. (2006). Individuals with the dominant hand affected following stroke demonstrate less impairment than those with the nondominant hand affected. Neurorehabilitation and Neural Repair, 20(3), 380–389. [PubMed]
- Hillis, A. E., & Tippett, D. C. (2014). Stroke Recovery: Surprising Influences and Residual Consequences. Advances in Medicine, 2014, 378263. [PubMed]
- Hmaied Assadi, S., Barel, H., Dudkiewicz, I., Gross-Nevo, R. F., & Rand, D. (2022). Less-Affected Hand Function is Associated With Independence in Daily Living: A Longitudinal Study Poststroke. Stroke, 53(3), 939–946. [PubMed]
- Hoffmann, M., Sacco, R., Mohr, J. P., & Tatemichi, T. K. (1997). Higher cortical function deficits among acute stroke patients: The stroke data bank experience. Journal of Stroke and Cerebrovascular Diseases, 6(3), 114-120.[PubMed]
- Ihle-Hansen, H., Thommessen, B., Wyller, T. B., Engedal, K., Øksengård, A. R., Stenset, V., Løken, K., Aaberg, M., & Fure, B. (2011). Incidence and subtypes of MCI and dementia 1 year after first-ever stroke in patients without pre-existing cognitive impairment. Dementia and Geriatric Cognitive Disorders, 32(6), 401–407. [PubMed]
- Katan, M., & Luft, A. (2018). Global Burden of Stroke. Seminars in Neurology, 38(2), 208–211. [PubMed]
- Katz, R. T., & Rymer, W. Z. (1989). Spastic hypertonia: mechanisms and measurement. Archives of Physical Medicine and Rehabilitation, 70(2), 144–155. [PubMed]
- Langan, J., & van Donkelaar, P. (2008). The influence of hand dominance on the response to a constraint-induced therapy program following stroke. Neurorehabilitation and neural repair, 22(3), 298–304.[PubMed]
- Lee, P. H., Yeh, T. T., Yen, H. Y., Hsu, W. L., Chiu, V. J., & Lee, S. C. (2021). Impacts of stroke and cognitive impairment on activities of daily living in the Taiwan longitudinal study on aging. Scientific Reports, 11(1), 12199. [PubMed]
- Lo Coco, D., Lopez, G., & Corrao, S. (2016). Cognitive impairment and stroke in elderly patients. Vascular Health and Risk Management, 12, 105–116. [PubMed]
- Madjarova, S. J., Williams, R. J., 3rd, Nwachukwu, B. U., Martin, R. K., Karlsson, J., Ollivier, M., & Pareek, A. (2022). Picking apart p values: common problems and points of confusion. Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA, 30(10), 3245–3248. [PubMed]
- Mani, S., Mutha, P. K., Przybyla, A., Haaland, K. Y., Good, D. C., & Sainburg, R. L. (2013). Contralesional motor deficits after unilateral stroke reflect hemisphere-specific control mechanisms. Brain : a Journal of Neurology, 136(Pt 4), 1288–1303. [PubMed]
- McCombe Waller, S., & Whitall, J. (2005). Hand dominance and side of stroke affect rehabilitation in chronic stroke. Clinical Rehabilitation, 19(5), 544–551. [PubMed]
- Ohura, T., Hase, K., Nakajima, Y., & Nakayama, T. (2017). Validity and reliability of a performance evaluation tool based on the modified Barthel Index for stroke patients. BMC Medical Research Methodology, 17(1), 131. [PubMed]
- Öztuna, Şeyda, & Işık, C. (2023). Evaluation of Fall from High Cases and Trauma Due to Fall from High in Terms of Mental Health . International Journal of Active & Healthy Aging, 1(1), 21–26. [CrossRef]
- Plummer, P., Eskes, G., Wallace, S., Giuffrida, C., Fraas, M., Campbell, G., Clifton, K. L., Skidmore, E. R., & American Congress of Rehabilitation Medicine Stroke Networking Group Cognition Task Force (2013). Cognitive-motor interference during functional mobility after stroke: state of the science and implications for future research. Archives of Physical Medicine and Rehabilitation, 94(12),2565– 2574.e6. [PubMed]
- Provins K. A. (1997). The Specificity of Motor Skill and Manual Asymmetry: A Review of the Evidence and Its Implications. Journal of Motor Behavior, 29(2), 183–192. [PubMed]
- Rinehart, J. K., Singleton, R. D., Adair, J. C., Sadek, J. R., & Haaland, K. Y. (2009). Arm use after left or right hemiparesis is influenced by hand preference. Stroke, 40(2), 545–550. [PubMed]
- Rost, N. S., Brodtmann, A., Pase, M. P., van Veluw, S. J., Biffi, A., Duering, M., Hinman, J. D., & Dichgans, M. (2022). Post-Stroke Cognitive Impairment and Dementia. Circulation Research, 130(8), 1252–1271. [PubMed]
- Sarikaya, P. M., Incel, N. A., Yilmaz, A., Cimen, O. B., & Sahin, G. (2017). Effect of hand dominance on functional status and recovery of hand in stroke patients. Science Journal of Clinical Medicine, 8(3), 39-45. [CrossRef]
- Ullah, I., Arsh, A., Zahir, A., & Jan, S. (2020). Motor relearning program along with electrical stimulation for improving upper limb function in stroke patients: A quasi-experimental study. Pakistan Journal of Medical Sciences, 36(7), 1613. [PubMed]
- Winstein, C. J., Rose, D. K., Tan, S. M., Lewthwaite, R., Chui, H. C., & Azen, S. P. (2004). A randomized controlled comparison of upper-extremity rehabilitation strategies in acute stroke: A pilot study of immediate and long-term outcomes. Archives of physical medicine and rehabilitation, 85(4),620–628. [PubMed]
Year 2025,
Volume: 8 Issue: 2, 182 - 191
Kanchan Gosavi
,
Sandeep Shinde
,
Sawani Aphale
Project Number
047/2022-2023
References
- Bonato, M., Romeo, Z., Blini, E., Pitteri, M., Durgoni, E., Passarini, L., & Zorzi, M. (2019). Ipsilesional impairments of visual awareness after right-hemispheric stroke. Frontiers in Psychology, 10, 697. [PubMed]
- Bourbonnais, D., Bilodeau, S., Cross, P., Lemay, J. F., Caron, S., & Goyette, M. (1997). A motor reeducation program aimed to improve strength and coordination of the upper limb of a hemiparetic subject. Neurorehabilitation, 9(1), 3-15,[PubMed]
- Brosseau, L., Potvin, L., Philippe, P., Boulanger, Y. L., & Dutil, E. (1996). The construct validity of the Functional Independence Measure as applied to stroke patients. Physiotherapy Theory and Practice, 12(3), 161-171. [CrossRef]
- Buvarp, D., Rafsten, L., & Sunnerhagen, K. S. (2020). Predicting longitudinal progression in functional mobility after stroke: a prospective cohort study. Stroke, 51(7), 2179-2187. [PubMed]
- Chatterjee, S. A., Daly, J. J., Porges, E. C., Fox, E. J., Rose, D. K., McGuirk, T. E., & Clark, D. J. (2018). Mobility function and recovery after stroke: preliminary insights from sympathetic nervous system activity. Journal of Neurologic Physical Therapy, 42(4), 224-232. [PubMed]
- Cramer, S. C., Richards, L. G., Bernhardt, J., & Duncan, P. (2023). Cognitive deficits after stroke. Stroke, 54(1), 5-9.[PubMed]
- Dolaş, Şerafettin, & Toptaş Demirci, P. (2023). Effects of Social Isolation During COVID-19 Quarantine on Level Physical Activity and Health of Elderly People. International Journal of Active & Healthy Aging, 1(1), 14–20. [CrossRef]
- Ellepola, S., Nadeesha, N., Jayawickrama, I., Wijesundara, A., Karunathilaka, N., & Jayasekara, P. (2022). Quality of life and physical activities of daily living among stroke survivors; cross-sectional study. Nursing Open, 9(3), 1635–1642. [PubMed]
- Gündüz, O. H., & Toprak, C. Ş. (2019). Hand function in stroke. In Hand function: A practical guide to assessment (pp. 125-135). [PubMed]
- Harris, J. E., & Eng, J. J. (2006). Individuals with the dominant hand affected following stroke demonstrate less impairment than those with the nondominant hand affected. Neurorehabilitation and Neural Repair, 20(3), 380–389. [PubMed]
- Hillis, A. E., & Tippett, D. C. (2014). Stroke Recovery: Surprising Influences and Residual Consequences. Advances in Medicine, 2014, 378263. [PubMed]
- Hmaied Assadi, S., Barel, H., Dudkiewicz, I., Gross-Nevo, R. F., & Rand, D. (2022). Less-Affected Hand Function is Associated With Independence in Daily Living: A Longitudinal Study Poststroke. Stroke, 53(3), 939–946. [PubMed]
- Hoffmann, M., Sacco, R., Mohr, J. P., & Tatemichi, T. K. (1997). Higher cortical function deficits among acute stroke patients: The stroke data bank experience. Journal of Stroke and Cerebrovascular Diseases, 6(3), 114-120.[PubMed]
- Ihle-Hansen, H., Thommessen, B., Wyller, T. B., Engedal, K., Øksengård, A. R., Stenset, V., Løken, K., Aaberg, M., & Fure, B. (2011). Incidence and subtypes of MCI and dementia 1 year after first-ever stroke in patients without pre-existing cognitive impairment. Dementia and Geriatric Cognitive Disorders, 32(6), 401–407. [PubMed]
- Katan, M., & Luft, A. (2018). Global Burden of Stroke. Seminars in Neurology, 38(2), 208–211. [PubMed]
- Katz, R. T., & Rymer, W. Z. (1989). Spastic hypertonia: mechanisms and measurement. Archives of Physical Medicine and Rehabilitation, 70(2), 144–155. [PubMed]
- Langan, J., & van Donkelaar, P. (2008). The influence of hand dominance on the response to a constraint-induced therapy program following stroke. Neurorehabilitation and neural repair, 22(3), 298–304.[PubMed]
- Lee, P. H., Yeh, T. T., Yen, H. Y., Hsu, W. L., Chiu, V. J., & Lee, S. C. (2021). Impacts of stroke and cognitive impairment on activities of daily living in the Taiwan longitudinal study on aging. Scientific Reports, 11(1), 12199. [PubMed]
- Lo Coco, D., Lopez, G., & Corrao, S. (2016). Cognitive impairment and stroke in elderly patients. Vascular Health and Risk Management, 12, 105–116. [PubMed]
- Madjarova, S. J., Williams, R. J., 3rd, Nwachukwu, B. U., Martin, R. K., Karlsson, J., Ollivier, M., & Pareek, A. (2022). Picking apart p values: common problems and points of confusion. Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA, 30(10), 3245–3248. [PubMed]
- Mani, S., Mutha, P. K., Przybyla, A., Haaland, K. Y., Good, D. C., & Sainburg, R. L. (2013). Contralesional motor deficits after unilateral stroke reflect hemisphere-specific control mechanisms. Brain : a Journal of Neurology, 136(Pt 4), 1288–1303. [PubMed]
- McCombe Waller, S., & Whitall, J. (2005). Hand dominance and side of stroke affect rehabilitation in chronic stroke. Clinical Rehabilitation, 19(5), 544–551. [PubMed]
- Ohura, T., Hase, K., Nakajima, Y., & Nakayama, T. (2017). Validity and reliability of a performance evaluation tool based on the modified Barthel Index for stroke patients. BMC Medical Research Methodology, 17(1), 131. [PubMed]
- Öztuna, Şeyda, & Işık, C. (2023). Evaluation of Fall from High Cases and Trauma Due to Fall from High in Terms of Mental Health . International Journal of Active & Healthy Aging, 1(1), 21–26. [CrossRef]
- Plummer, P., Eskes, G., Wallace, S., Giuffrida, C., Fraas, M., Campbell, G., Clifton, K. L., Skidmore, E. R., & American Congress of Rehabilitation Medicine Stroke Networking Group Cognition Task Force (2013). Cognitive-motor interference during functional mobility after stroke: state of the science and implications for future research. Archives of Physical Medicine and Rehabilitation, 94(12),2565– 2574.e6. [PubMed]
- Provins K. A. (1997). The Specificity of Motor Skill and Manual Asymmetry: A Review of the Evidence and Its Implications. Journal of Motor Behavior, 29(2), 183–192. [PubMed]
- Rinehart, J. K., Singleton, R. D., Adair, J. C., Sadek, J. R., & Haaland, K. Y. (2009). Arm use after left or right hemiparesis is influenced by hand preference. Stroke, 40(2), 545–550. [PubMed]
- Rost, N. S., Brodtmann, A., Pase, M. P., van Veluw, S. J., Biffi, A., Duering, M., Hinman, J. D., & Dichgans, M. (2022). Post-Stroke Cognitive Impairment and Dementia. Circulation Research, 130(8), 1252–1271. [PubMed]
- Sarikaya, P. M., Incel, N. A., Yilmaz, A., Cimen, O. B., & Sahin, G. (2017). Effect of hand dominance on functional status and recovery of hand in stroke patients. Science Journal of Clinical Medicine, 8(3), 39-45. [CrossRef]
- Ullah, I., Arsh, A., Zahir, A., & Jan, S. (2020). Motor relearning program along with electrical stimulation for improving upper limb function in stroke patients: A quasi-experimental study. Pakistan Journal of Medical Sciences, 36(7), 1613. [PubMed]
- Winstein, C. J., Rose, D. K., Tan, S. M., Lewthwaite, R., Chui, H. C., & Azen, S. P. (2004). A randomized controlled comparison of upper-extremity rehabilitation strategies in acute stroke: A pilot study of immediate and long-term outcomes. Archives of physical medicine and rehabilitation, 85(4),620–628. [PubMed]