Ipsilateral deficits in 1-handed shoe tying after left or right hemisphere stroke.

Full Abstract

Poole JL, Sadek J, Haaland KY. Ipsilateral deficits in 1-handed shoe tying after left or right hemisphere stroke. OBJECTIVE: To examine 1-handed shoe tying performance and whether cognitive deficits more associated with left or right hemisphere damage differentially affect it after unilateral stroke. DESIGN: Observational cohort comparing ipsilesional shoe tying, spatial and language skills, and limb praxis. SETTING: Primary care Veterans Affairs and private medical center. INTERVENTIONS: Not applicable. PARTICIPANTS: Volunteer right-handed sample of adults with left or right hemisphere damage and healthy demographically matched adults. MAIN OUTCOME MEASURE: The number of correct trials and the total time to complete 10 trials tying a shoe using the 1-handed method. RESULTS: Both stroke groups had fewer correct trials and were significantly slower tying the shoe than the control group. Spatial skills predicted accuracy and speed after right hemisphere damage. After left hemisphere damage, accuracy was predicted by spatial skills and limb praxis, while speed was predicted by limb praxis only. CONCLUSIONS: Ipsilesional shoe tying is similarly impaired after left or right hemisphere damage, but for different reasons. Spatial deficits had a greater influence after right hemisphere damage, and limb apraxia had a greater influence after left hemisphere damage. Language deficits did not affect performance, indicating that aphasia does not preclude using this therapy approach. These results suggest that rehabilitation professionals should consider assessment of limb apraxia and ipsilesional skill training in the performance of everyday tasks.

Author information

Author/s: Poole, Janet L (JL); Sadek, Joseph (J); Haaland, Kathleen Y (KY);

Affiliation: Occupational Therapy Graduate Program, University of New Mexico School of Medicine, Albuquerque, NM.

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't

Journal: Archives of physical medicine and rehabilitation (Arch Phys Med Rehabil), published in United States. (Language: eng)

Reference: 2009-Oct; vol 90 (issue 10) : pp 1800-5

Dates: Created 2009/10/05; Completed 2009/10/22;

PMID: 19801074, status: MEDLINE (last retrieval date: 10/22/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

External Links for this article
(including full text providers, if available):

Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.

This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.