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KMID : 0361420140380040450
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Journal of Korean Academy of Rehabilitation Medicine
2014 Volume.38 No. 4 p.450 ~ p.457
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Effect of Dominant Hand Paralysis on Quality of Life in Patients With Subacute Stroke
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Nam Hyeon-Uk
Huh Jin-Seok
Yoo Ji-Na
Hwang Jong-Moon
Lee Byung-Joo
Min Yu-Sun
Kim Chul-Hyun
Jung Tae-Du
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Abstract
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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.
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KEYWORD
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Dominance, Quality of life, Stroke
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