The Influence of Hand Dominance on the Response to a Constraint-Induced Therapy Program Following Stroke

Abstract

CIT promotes improvement of the more affected hand particularly on complex tests without decrements to the less affected constrained hand. Cortically, statistically significant changes in activation were noted after the intervention for the more affected hand; no changes were noted with the less affected constrained hand.

Effect of Weighted Hand Movements on Hand Function in Chronic Stroke Patients

“…Left-handed dominant people perform some tasks with the right hand. The right-handed dominant individuals rarely perform tasks primarily with the left hand and the rate of recovery decreases because of increasing the learning of the non use [16,17].…”

Brain Plasticity Induced by Constraint-Induced Movement Therapy: Relationship of fMRI and Movement Characteristics

“…Altogether, male subjects were included in 74.2 % (16 females and 46 males). However, in four studies the subjects' gender was not reported (Dong et al, 2006;Kim et al, 2004;Langan & van Donkelaar, 2008;Liepert et al, 2004). The age of all included subjects after stroke varied from 23 (Azpiroz at al., 2005) to 80 years (Hamzei et al, 2006), with a greatest range of 51 years in the study of Langan & van Donkleaar (2008).…”

“…In three of these studies transcranial magnetic stimulation (TMS) was also performed (Liepert et al, 2004;Hamzei et al, 2006Hamzei et al, , 2008. The effects of the original form of CIMT (duration two weeks) were investigated in 11 studies (Azpiroz et al, 2005;Butler & Page, 2006;Dong et al, 2006Dong et al, , 2007Hamzei et al, 2006;Kim et al, 2004;Langan & van Donkelaar, 2008;Levy et al, 2001;Liepert et al, 2004;Schaechter et al, 2002;Sheng & Lin, 2009). In other studies, different types of mCIMT were investigated, varied from three Wu et al, 2010) to ten (Szaflarski et al, 2006) weeks of treatment duration.…”

“…In majority of the studies, only patients with right-hand dominance before a stroke appearance were included (Azpiroz et al, 2005;Dong et al, 2007;Hamzei et al, 2006Hamzei et al, , 2008Langan & van Donkelaar, 2008;Lin et al, 2010;Schaechter et al, 2002), with the exception of the first two studies (Levy et al, 2001;Johansen-Berg et al, 2002) wherein each one patient with left-hand dominance was included. However, in many studies this subjects' characteristic was not reported (Butler & Page, 2006;Dong et al, 2006;Kim et al, 2004;Liepert et al, 2004;Sheng & Lin, 2009;Szaflarski et al, 2006;Wu et al, 2010).…”

“…Although this was specified by few authors only (Dong et al, 2007;Hamzei et al, 2006Hamzei et al, , 2008 www.intechopen.com Johansen-Berg et al, 2002;Schaechter et al, 2002), but Langan & van Donkelaar (2008) included one patient with a second stroke. Patients with ischemic (Dong et al, 2007;Hamzei et al, 2006Hamzei et al, , 2008Johansen-Berg et al, 2002;Schaechter et al, 2002) and hemorrhagic types of stroke (Azpiroz et al, 2005;Butler & Page, 2006;Dong et al, 2007;Levy et al, 2001;Wu et al, 2010) were included.…”