Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
권호 표지

Ipsilesional Movement Deficit of Proximal & Distal Upper Extremity in Patients With Unilateral Brain Damage

편측 뇌손상 환자에서 동측 상지의 근위부 및 원위부의 운동 결함에 관한 분석

  • Kwon, Yong-Hyun (Dept. of Rehabilitation Science, Graduate School, Daegu University) ;
  • Choi, Jin-Ho (Dept. of Physical Therapy, Gangneung Yeongdong College) ;
  • Shin, Hwa-Kyung (Dept. of Occupational Therapy, College of Natural Science, Kaya University) ;
  • Bai, Dai-Seg (Division of Clinical Psychology, Yeungnam University Medical Center)
  • 권용현 (대구대학교 대학원 재활과학과) ;
  • 최진호 (강릉영동대학 물리치료과) ;
  • 신화경 (가야대학교 자연과학대학 작업치료학과) ;
  • 배대석 (영남대학교의료원 신경정신과 임상심리실)
  • Published : 2005.02.19
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Abstract

The purpose of this study was to analyze the presence of ipsilesional movement deficit, with segmental performance in each proximal or distal upper extremity. The visuoperceptual complex task of the ipsilesional upper extremity was investigated in patients with unilateral brain damage and a control group of healthy sex-age-matched controls. Tracking movements were tested in the proximal and distal upper extremities. Movements were measured by the accuracy index, which was normalized to each subject's own range of motion and took into account any differences between subjects in the excursion of the tracking target. The findings revealed that stroke patients experienced difficulties with tracking movement of both proximal and distal segments in the upper extremities on the so-called "non-affected side", irrespectively of the extent of patient's age, time since onset, or severity of contralateral upper extremity. Therefore, the unilateral brain damage affected ipsilateral motor function of the proximal and distal upper limbs in the performance of complex motor tasks, requiring central processing and the higher order cognitive function in the integrity of both hemispheres.

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