Impact of Dominance in Early Functional Mobility in Stroke Survivors
Abstract
Purpose : Stroke is a major cause of mortality and causes significant impairment of functional mobility, regardless of whether it affects the dominant or non-dominant side, can increase future health risks. Our study purpose was to determine the impact of dominance in functional mobility impairment on stroke survivors. Methods: The research was conducted at Krishna College of Physiotherapy, Karad, involving 132 stroke patients, both male and female, with either left or right side affected by stroke. Participants were selected by random sampling based on predefined inclusion and exclusion criteria. They were evaluated using the Functional Independence Measure Scale (FIMS) and the Barthel Index Scale (BI). Collected data were analysed by SPSS version 26.0. Results: The study evaluated about functional mobility impairment on the dominant and non-dominant sides on the 1st and 45th day post-stroke. For Barthel index assessment, group B had significant improvement ( p <0.0001 ) than group A(p<0.2846) There was more improvement of Functional Mobility seen in the group B (p <0.0001) for Functional Independence Measure ) affected Stroke survivors than compared to group A (p 0.0004) for Functional Independence Measure). Between group analysis for post test measurements was (p<0.0001) for both BI and FIMS showing significant differences. Conclusion: This study revealed that, 45 days post-stroke, functional mobility was significantly impaired in survivors of stroke with dominant side affected compared to the non-dominant side.
Keywords
Dominance, Independent, Functional mobility, Impairment, Stroke
Supporting Institution
Krishna Institute of Medical Sciences, Deemed To Be University, Karad
Project Number
047/2022-2023
Ethical Statement
The Institutional Ethical Committee has approved this study.
References
- Bonato, M., Romeo, Z., Blini, E., Pitteri, M., Durgoni, E., Passarini, L., & Zorzi, M. (2019). Ipsilesional impairments of visual awareness after right-hemispheric stroke. Frontiers in Psychology, 10, 697. [PubMed]
- Bourbonnais, D., Bilodeau, S., Cross, P., Lemay, J. F., Caron, S., & Goyette, M. (1997). A motor reeducation program aimed to improve strength and coordination of the upper limb of a hemiparetic subject. Neurorehabilitation, 9(1), 3-15,[PubMed]
- Brosseau, L., Potvin, L., Philippe, P., Boulanger, Y. L., & Dutil, E. (1996). The construct validity of the Functional Independence Measure as applied to stroke patients. Physiotherapy Theory and Practice, 12(3), 161-171. [CrossRef]
- Buvarp, D., Rafsten, L., & Sunnerhagen, K. S. (2020). Predicting longitudinal progression in functional mobility after stroke: a prospective cohort study. Stroke, 51(7), 2179-2187. [PubMed]
- Chatterjee, S. A., Daly, J. J., Porges, E. C., Fox, E. J., Rose, D. K., McGuirk, T. E., & Clark, D. J. (2018). Mobility function and recovery after stroke: preliminary insights from sympathetic nervous system activity. Journal of Neurologic Physical Therapy, 42(4), 224-232. [PubMed]
- Cramer, S. C., Richards, L. G., Bernhardt, J., & Duncan, P. (2023). Cognitive deficits after stroke. Stroke, 54(1), 5-9.[PubMed]
- Dolaş, Şerafettin, & Toptaş Demirci, P. (2023). Effects of Social Isolation During COVID-19 Quarantine on Level Physical Activity and Health of Elderly People. International Journal of Active & Healthy Aging, 1(1), 14–20. [CrossRef]
- Ellepola, S., Nadeesha, N., Jayawickrama, I., Wijesundara, A., Karunathilaka, N., & Jayasekara, P. (2022). Quality of life and physical activities of daily living among stroke survivors; cross-sectional study. Nursing Open, 9(3), 1635–1642. [PubMed]
- Gündüz, O. H., & Toprak, C. Ş. (2019). Hand function in stroke. In Hand function: A practical guide to assessment (pp. 125-135). [PubMed]
- Harris, J. E., & Eng, J. J. (2006). Individuals with the dominant hand affected following stroke demonstrate less impairment than those with the nondominant hand affected. Neurorehabilitation and Neural Repair, 20(3), 380–389. [PubMed]