Comparison of Functions, Activity of Daily Living, and Quality of Life according to Hand Dominance in Stroke

Minsu Park; Eun Joo Kim; Junhee Han; Myung Hoon Moon; Yun-Hee Kim; Sung-Hwa Ko; Yong-Il Shin

doi:10.12786/bn.2015.8.2.96

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Park, Kim, Han, Moon, Kim, Ko, and Shin: Comparison of Functions, Activity of Daily Living, and Quality of Life according to Hand Dominance in Stroke

Original Article

Brain & Neurorehabilitation 2015; 8(2): 96-103.

Published online: 30 September 2015

DOI: https://doi.org/10.12786/bn.2015.8.2.96

Comparison of Functions, Activity of Daily Living, and Quality of Life according to Hand Dominance in Stroke

Minsu Park, M.S.^1,², Eun Joo Kim, M.S.², Junhee Han, Ph.D.³, Myung Hoon Moon, M.D.⁴, Yun-Hee Kim, M.D., Ph.D.^5,^6,⁷, Sung-Hwa Ko, M.D.^1,⁸, Yong-Il Shin, M.D., Ph.D.^1,^2,⁴

¹Department of Rehabilitation Medicine, Pusan National University School of Medicine, Korea.

²Research Institute of Convergence for Biomedical Science and Technology, Pusan National University Yangsan Hospital, Korea.

³Division of Biostatistics, Research Institute of Convergence for Biomedical Science and Technology, Pusan National University Yangsan Hospital, Korea.

⁴Department of Rehabilitation Medicine, Pusan National University Yangsan Hospital, Korea.

⁵Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular and Stroke Institute, Samsung Medical Center, Korea.

⁶Department of Physical and Rehabilitation Medicine, Sungkyunkwan University School of Medicine, Korea.

⁷Department of Health Sciences and Technology, Samsung Advanced Institute for health Science and Technology, Sungkyunkwan University, Korea.

⁸Department of Rehabilitation Medicine, Pusan National University Hospital, Korea.

Correspondence to: Sung-Hwa Ko, Department of Rehabilitation Medicine, Pusan National University Hospital, 179 Gudeok-ro, Seo-gu, Busan 49241, Korea. Tel: 051-240-7485, Fax: 051-247-7485, ijsh6679@gmail.com

Correspondence to: Yong-Il Shin, Department of Rehabilitation Medicine, Pusan National University School of Medicine, 20 Geumo-ro, Mulgeum-eup, Yangsan 50612, Korea. Tel: 055-360-2872, Fax: 055-360-4251, rmshin@pusan.ac.kr

Received 23 September 2015 Revised 25 September 2015 Accepted 25 September 2015

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective

We investigated the differences of functions, activity of daily living (ADL), and quality of life (QoL) according to hand dominance in hemiplegic stroke patients.

Method

The participants were diagnosed as stroke at P hospital. 370 participants (356 right dominant hand, 14 left dominant hand) were right hemisphere stroke, and 258 participants (248 right dominant hand, 10 left dominant hand) were left hemisphere stroke. To compensate the differences of imbalance in the number of participants' hand dominance, we performed the propensity score matching analysis. We analyzed the variation of stroke severity, disability, motor, mobility, cognition and language functions from 7 days until 3 months after onset using analysis of covariance (ANCOVA). Then, we performed independent t-test to compare hand dexterity, ADL, mood, subjective health condition and QoL of participants according to the hand dominance and the affected hemisphere.

Results

All groups showed increased functions during 3 months without statistically significant differences according to hand dominance in both right and left hemisphere stroke patients. In addition, ADL, mood, subjective health condition and QoL were also not significantly different depending on hand dominance in the right and left hemisphere.

Conclusion

The difference of hand dominance did not influence stroke severity, disability, motor, mobility, cognition or language functions. It also didn't correlate with ADLs, mood or QoL.

Keywords: activity of daily living, dominance, hand, function, quality of life

Figures and Tables

Fig. 1

Flowchart of participant's recruitment.

Table 1

Baseline Characteristics and Cardiovascular Risk Factor according to Hand Dominance

^*Chi-Square Test, ^†Mann-Whitney U Test. Rt: Right, Lt: Left, SD: Standard Deviation, NIHSS: National Institutes of Health Stroke Scale.

Table 2

Comparison of Functions in Hand Dominance of Stroke Patients

Rt: Right, Lt: Left, SD: Standard Deviation, NIHSS: National Institutes of Health Stroke Scale, mRS: modified Rankin Scale, FMA: Fugl-Meyer Assessment, U/E: Upper Extremities, FAC: Functional Ambulation Categories, K-MMSE: Korean Mini Mental State Examination, K-FAST: Korean version of Frenchay Aphasia Screening Test.

Table 3

Comparison of Hand Dexterity and ADL in Hand Dominance of Stroke Patients

ADL: Activities of Daily Living, Rt: Right, Lt: Left, SD: Standard Deviation, K-MBI: Korean Version of Modified Barthel Index, FIM: Functional Independent Measure.

Table 4

Comparison of Depression, Psychosocial Stress and QoL in Hand Dominance of Stroke Patients

Qol: Quality of Life, Rt: Right, Lt: Left, SD: Standard Deviation, GDS: Geriatric Depression Scale, EQ-5D: EuroQoL-5D, RNLI: Reintegration to Normal Living Index, PWI-SF: Psychosocial Well-being Index Short-Form.

Notes

This work was supported by the Research Program funded by the Korea Centers for Disease Control and Prevention (2013-2013E3301702).

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