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Manual function of the unaffected upper extremity can affect functional outcome after stroke

Cho, Tae Hwan; Jeong, Yoon Jeong; Lee, Hyo Jeong; Moon, Hyun Im

International Journal of Rehabilitation Research: March 2019 - Volume 42 - Issue 1 - p 26–30
doi: 10.1097/MRR.0000000000000315
Original articles
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Traditionally, motor deficits of ipsilesional side, generally considered as the unaffected side, have been investigated less and the influence of the impairment is unknown. To evaluate the association between the manual function test (MFT) of nonparetic limb and poststroke functional outcome. We conducted a retrospective analysis of 71 hemiplegic patients with stroke. MFT on both sides was routinely measured at admission and 1 month later after admission by an experienced occupational therapist. The parameters of functional outcome after stroke were measured with the total score of functional independence measure (FIM) and the self-care subscore of FIM. Age, initial cognitive function, and MFT of the affected hand and unaffected hand were each significant factors for independently predicting short-term functional outcome after stroke. Linear regression analysis showed that initial MFT score of unaffected side is a significant predictor for 1 month follow-up subscore FIM (P<0.0001) and total FIM score (P<0.0001). Our findings suggests that initial MFT score of the nonparetic side has a significant correlation with functional outcome. Therefore, it is important to conduct MFT on the nonparetic side as well as the paretic side. Furthermore, it is necessary to undergo rehabilitation therapy on the nonparetic side.

Department of Rehabilitation Medicine, Bundang Jesaeng General Hospital, Seongnam, Republic of Korea

Correspondence to Hyun Im Moon, MD, Department of Rehabilitation Medicine, Bundang Jesaeng General Hospital, 20, Seohyeon-ro 180 beon-gil, Bundang-gu, Seoungnam-si 13590, Gyeonggi-do, Republic of Korea Tel: +82 31 779 0647; fax: +82 31 779 0635; e-mail: feellove99@gmail.com

Received July 3, 2018

Accepted August 31, 2018

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