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Journal of the Korean Academy of Rehabilitation Medicine 2000;24(1):8-13.
Effects of Unilateral Brain Damage on Ipsilateral Upper Extremity Function in Hemiplegia.
Kim, Hye Won , Ko, Young Jin , Kang, Sae Yun , Suh, Sun Sook
Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea.
편마비환자의 일측 대뇌병변이 병변 동측 상지기능에 미치는 영향
김혜원, 고영진, 강세윤, 서선숙
가톨릭대학교 의과대학 재활의학교실
Abstract

Objective
The objective of this study is to determine the effect of unilateral brain lesion on hand strength and dexterity of ipsilateral side in hemiplegic patients and the change of strength and dexterity of ipsilateral hand after rehabilitation according to the side of brain lesion.


Method
Sixty four hemiplegic patients with unilateral brain lesion underwent hand function tests for the ipsilateral hand to the brain lesion. Grip strength, tip pinch, lateral pinch, and palmar pinch strength were measured, and Purdue pegboard test was performed.
Results
were compared with a group of forty age-matched healthy volunteers.


Results
There was significant decrement of hand strength and dexterity of ipsilateral side except grip strength in patients with unilateral brain lesion in the begining of rehabilitation compared with the controls. Hand strength and dexterity of ipsilateral hand was significantly improved after rehabilitation. There was no significant difference in hand strength and dexterity of ipsilateral side according to the side of hemispheric lesion.


Conclusion
Ipsilateral upper extremity function in hemiplegic patients may also be affected adversely, and therefore rehabilitation treatment for ipsilateral upper extremity function should be involved.

Key Words: Unilateral brain damage, Ipsilateral hand function


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