PMID- 33016204
OWN - NLM
STAT- MEDLINE
DCOM- 20211115
LR  - 20211115
IS  - 1552-6844 (Electronic)
IS  - 1545-9683 (Linking)
VI  - 34
IP  - 11
DP  - 2020 Nov
TI  - Improvement of the Upper Extremity at the Subacute Stage Poststroke: Does Hand 
      Dominance Play a Role?
PG  - 1030-1037
LID - 10.1177/1545968320962502 [doi]
AB  - 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.
FAU - Hmaied Assadi, Samar
AU  - Hmaied Assadi S
AD  - Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel.
FAU - Feige Gross-Nevo, Revital
AU  - Feige Gross-Nevo R
AD  - Beit Rivka Geriatric Rehabilitation Center, Petach Tikva, Israel.
FAU - Dudkiewicz, Israel
AU  - Dudkiewicz I
AUID- ORCID: 0000-0003-1578-930X
AD  - Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel.
AD  - Sheba Medical Center, Tel Hashomer, Israel.
FAU - Barel, Haim
AU  - Barel H
AD  - Bayit Balev Rehabilitation Center, Maccabi Health Care Services Group, Bat-Yam, 
      Israel.
FAU - Rand, Debbie
AU  - Rand D
AUID- ORCID: 0000-0001-6410-2389
AD  - Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20201005
PL  - United States
TA  - Neurorehabil Neural Repair
JT  - Neurorehabilitation and neural repair
JID - 100892086
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - *Functional Laterality
MH  - Hand
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - Stroke/*physiopathology
MH  - *Stroke Rehabilitation
MH  - Treatment Outcome
MH  - Upper Extremity/*physiopathology
OTO - NOTNLM
OT  - daily use
OT  - hand function
OT  - handedness
OT  - rehabilitation
OT  - stroke
EDAT- 2020/10/06 06:00
MHDA- 2021/11/16 06:00
CRDT- 2020/10/05 08:41
PHST- 2020/10/06 06:00 [pubmed]
PHST- 2021/11/16 06:00 [medline]
PHST- 2020/10/05 08:41 [entrez]
AID - 10.1177/1545968320962502 [doi]
PST - ppublish
SO  - Neurorehabil Neural Repair. 2020 Nov;34(11):1030-1037. doi: 
      10.1177/1545968320962502. Epub 2020 Oct 5.