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Relationship between Ipsilateral Motor Deficits on the Less-Affected Side and Motor Function Stage on the Affected Side
J Kor Phys Ther 2018;30(6):234-238
Published online December 30, 2018;
© 2018 The Korea Society of Physical Therapy.

Sung Min Son1, Seok Hyun Nam2, Kyung Woo Kang3, Dae Hyun Kim4

1Department of Physical Therapy, College of Health Science, Cheongju University, Cheongju; 2Physical therapist, Respiratory Rehabilitation center, Yeungnam University Medical Center, Daegu; 3Department of Physical Therapy, Yeongnam University College, Daegu; 4Physical therapist, Department of Physical Therapy, Chonbuk National Hospital, Jeonju, Korea
Seok Hyun Nam E-mail
Received November 16, 2018; Revised December 23, 2018; Accepted December 26, 2018.
This is an Open Access article distribute under the terms of the Creative Commons Attribution Non-commercial License (Http:// which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Purpose: Aim of this study was to investigate whether there are ipsilateral motor deficits for visuospatial accuracy and fine movements by making a comparison between stroke patients and healthy subjects. We examined whether ipsilateral motor deficits are influenced by the level of functional movements and muscle strength of the upper and lower extremities of the affected side.
Methods: Thirty post-stroke subjects and 20 normal aged matched subjects were recruited. Outcome measures for less-affected side were the tracking task and nine-hole pegboard test. Fugl-Meyer test and motricity index were applied for the measurement of functional movements and muscle strength of affected side.
Results: Tracking task and nine-hole pegboard test was significantly different between control and experimental group. In terms of accuracy index according to tracking, the experimental group showed a lower accuracy index in the MCP joint than the control group. However, there were no significant difference relation between the level of motor function of the affected side and the motor deficit level of ipsilateral side.
Conclusion: Ipsilateral motor deficits may have significant clinical implications. It needs to be noted that although many patients, families, and medical staff are focused only on motor deficits of the affected side, motor deficits of the sound side can cause difficulties in daily living movements requiring delicate movements. In addition, there was no significant correlation between the level of motor function of the affected side and motor deficits of the sound side.
Keywords : Ipsilateral motor deficits, Less affected side, Stroke, Hemiparesis

December 2018, 30 (6)
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