Effect of Dominant Hand Paralysis on Quality of Life in Patients With Subacute Stroke.
10.5535/arm.2014.38.4.450
- Author:
Hyeon Uk NAM
1
;
Jin Seok HUH
;
Ji Na YOO
;
Jong Moon HWANG
;
Byung Joo LEE
;
Yu Sun MIN
;
Chul Hyun KIM
;
Tae Du JUNG
Author Information
1. Department of Rehabilitation Medicine, Kyungpook National University College of Medicine, Daegu, Korea. teeed0522@hanmail.net
- Publication Type:Original Article
- Keywords:
Dominance;
Quality of life;
Stroke
- MeSH:
Depression;
Hand*;
Health Surveys;
Hemiplegia;
Humans;
Outcome Assessment (Health Care);
Paralysis*;
Quality of Life*;
Stroke*
- From:Annals of Rehabilitation Medicine
2014;38(4):450-457
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To evaluate the degree to which the paralysis of a dominant hand affects quality of life (QOL) in patients with subacute stroke. METHODS: We recruited 75 patients with subacute hemiplegic stroke. Patients were divided into two groups according to the location of the lesion and the side of the dominant hand. Group 1 consisted of patients whose strokes affected the dominant hand (i.e., right hemiplegia and right dominant hand or left hemiplegia and left dominant hand). Group 2 consisted of patients whose strokes affected the non-dominant hand (i.e., left hemiplegia and right dominant hand or right hemiplegia and left dominant hand). The primary outcome measure was the Short-Form 36-Item Health Survey (SF-36), which was used to evaluate health-related QOL. Secondary outcomes were scores on the Modified Barthel Index (MBI) and Beck Depression Inventory (BDI). RESULTS: We did not find any statistically significant differences between the groups in any SF-36 domain including the summaries of physical and mental component. Similarly, the MBI and BDI scores were not significantly different between the groups. CONCLUSION: The effect of paralysis on the dominant hand and QOL in patients with subacute stroke was not significantly different from the effect of paralysis on the non-dominant hand.