Speed of finger tapping and goal attainment after unilateral cerebral vascular accident
Objective: To determine (1) if speed of finger tapping is bilaterally slow after an acute unilateral cerebral vascular accident (CVA) and (2) if speed of finger tapping and grip strength are related to achieving rehabilitation goals during the first few weeks after stroke. Design: Prospective incept...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 1997-08, Vol.78 (8), p.847-852 |
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| container_title | Archives of physical medicine and rehabilitation |
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| creator | Prigatano, George P. Wong, Jane L. |
| description | Objective: To determine (1) if speed of finger tapping is bilaterally slow after an acute unilateral cerebral vascular accident (CVA) and (2) if speed of finger tapping and grip strength are related to achieving rehabilitation goals during the first few weeks after stroke.
Design: Prospective inception cohort study.
Study Setting: Medical center and neurological institute.
Participants: Fifty-one patients with unilateral CVAs.
Main Outcome Measures: Documentation of goal attainment at discharge and bilateral measures of speed of finger tapping and grip strength.
Results: Speed of finger tapping and grip strength were often bilaterally below normal limits after an acute unilateral CVA, with the contralateral hand most affected. Speed of finger tapping, but not grip strength, in the ipsilateral hand was associated with achieving rehabilitation goals. Speed of finger tapping in the contralateral hand as well as bilateral grip strength was not related to achievement of rehabilitation goals.
Conclusions: Motor findings suggest that bilateral cerebral dysfunction may be common after an acute unilateral CVA. The speed of finger movement in the hand ipsilateral to the lesion may reflect the degree to which the so-called “unaffected” cerebral hemisphere has in fact maintained its functional integrity. As such, it may be a useful behavioral marker for predicting goal attainment during early stages of neurorehabilitation. |
| doi_str_mv | 10.1016/S0003-9993(97)90198-2 |
| format | Article |
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Design: Prospective inception cohort study.
Study Setting: Medical center and neurological institute.
Participants: Fifty-one patients with unilateral CVAs.
Main Outcome Measures: Documentation of goal attainment at discharge and bilateral measures of speed of finger tapping and grip strength.
Results: Speed of finger tapping and grip strength were often bilaterally below normal limits after an acute unilateral CVA, with the contralateral hand most affected. Speed of finger tapping, but not grip strength, in the ipsilateral hand was associated with achieving rehabilitation goals. Speed of finger tapping in the contralateral hand as well as bilateral grip strength was not related to achievement of rehabilitation goals.
Conclusions: Motor findings suggest that bilateral cerebral dysfunction may be common after an acute unilateral CVA. The speed of finger movement in the hand ipsilateral to the lesion may reflect the degree to which the so-called “unaffected” cerebral hemisphere has in fact maintained its functional integrity. As such, it may be a useful behavioral marker for predicting goal attainment during early stages of neurorehabilitation.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/S0003-9993(97)90198-2</identifier><identifier>PMID: 9344304</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Acute Disease ; Aged ; Biological and medical sciences ; Cerebrovascular Disorders - diagnostic imaging ; Cerebrovascular Disorders - physiopathology ; Cerebrovascular Disorders - psychology ; Cerebrovascular Disorders - rehabilitation ; Convalescence - psychology ; Female ; Fingers - physiopathology ; Geriatric Assessment ; Goals ; Hand Strength ; Humans ; Male ; Medical sciences ; Neurology ; Predictive Value of Tests ; Prospective Studies ; Psychomotor Performance ; Time Factors ; Tomography, X-Ray Computed ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Archives of physical medicine and rehabilitation, 1997-08, Vol.78 (8), p.847-852</ispartof><rights>1997</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-323e271d597546ae6714298dc4b9558e93e19830fc463738f42a7fe1af83ab313</citedby><cites>FETCH-LOGICAL-c455t-323e271d597546ae6714298dc4b9558e93e19830fc463738f42a7fe1af83ab313</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0003-9993(97)90198-2$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,3550,23930,23931,25140,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2797287$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9344304$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Prigatano, George P.</creatorcontrib><creatorcontrib>Wong, Jane L.</creatorcontrib><title>Speed of finger tapping and goal attainment after unilateral cerebral vascular accident</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Objective: To determine (1) if speed of finger tapping is bilaterally slow after an acute unilateral cerebral vascular accident (CVA) and (2) if speed of finger tapping and grip strength are related to achieving rehabilitation goals during the first few weeks after stroke.
Design: Prospective inception cohort study.
Study Setting: Medical center and neurological institute.
Participants: Fifty-one patients with unilateral CVAs.
Main Outcome Measures: Documentation of goal attainment at discharge and bilateral measures of speed of finger tapping and grip strength.
Results: Speed of finger tapping and grip strength were often bilaterally below normal limits after an acute unilateral CVA, with the contralateral hand most affected. Speed of finger tapping, but not grip strength, in the ipsilateral hand was associated with achieving rehabilitation goals. Speed of finger tapping in the contralateral hand as well as bilateral grip strength was not related to achievement of rehabilitation goals.
Conclusions: Motor findings suggest that bilateral cerebral dysfunction may be common after an acute unilateral CVA. The speed of finger movement in the hand ipsilateral to the lesion may reflect the degree to which the so-called “unaffected” cerebral hemisphere has in fact maintained its functional integrity. As such, it may be a useful behavioral marker for predicting goal attainment during early stages of neurorehabilitation.</description><subject>Acute Disease</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cerebrovascular Disorders - diagnostic imaging</subject><subject>Cerebrovascular Disorders - physiopathology</subject><subject>Cerebrovascular Disorders - psychology</subject><subject>Cerebrovascular Disorders - rehabilitation</subject><subject>Convalescence - psychology</subject><subject>Female</subject><subject>Fingers - physiopathology</subject><subject>Geriatric Assessment</subject><subject>Goals</subject><subject>Hand Strength</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neurology</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Psychomotor Performance</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtr3DAURkVpmUwm_QkBL0JJFk70tKxVKSFJA4EukpDuxLV8FVQ8tivZA_330TyYbVf6xHeuHoeQc0avGWXVzTOlVJTGGHFp9JWhzNQl_0SWTAle1pz9_kyWR-SEnKb0J28rJdiCLIyQUlC5JG_PI2JbDL7woX_HWEwwjjkV0LfF-wBdAdMEoV9jPxXgp0zMfeggh9w5jNhswwaSmzuIBTgX2syekS8euoRfD-uKvN7fvdz-LJ9-PTze_ngqnVRqKgUXyDVrldFKVoCVZpKbunWyMUrVaATmfwnqnayEFrWXHLRHBr4W0AgmVuTb_twxDn9nTJNdh-Sw66DHYU5WG6FqRlUG1R50cUgpordjDGuI_yyjdivU7oTarS1rtN0JtTzPnR8umJs1tsepg8HcXxz6rAA6H6F3IR0xro3mtc7Y9z2GWcYmYLTJBewdtiGim2w7hP885AMlTZHR</recordid><startdate>19970801</startdate><enddate>19970801</enddate><creator>Prigatano, George P.</creator><creator>Wong, Jane L.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19970801</creationdate><title>Speed of finger tapping and goal attainment after unilateral cerebral vascular accident</title><author>Prigatano, George P. ; Wong, Jane L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-323e271d597546ae6714298dc4b9558e93e19830fc463738f42a7fe1af83ab313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Acute Disease</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cerebrovascular Disorders - diagnostic imaging</topic><topic>Cerebrovascular Disorders - physiopathology</topic><topic>Cerebrovascular Disorders - psychology</topic><topic>Cerebrovascular Disorders - rehabilitation</topic><topic>Convalescence - psychology</topic><topic>Female</topic><topic>Fingers - physiopathology</topic><topic>Geriatric Assessment</topic><topic>Goals</topic><topic>Hand Strength</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Neurology</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Psychomotor Performance</topic><topic>Time Factors</topic><topic>Tomography, X-Ray Computed</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Prigatano, George P.</creatorcontrib><creatorcontrib>Wong, Jane L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Prigatano, George P.</au><au>Wong, Jane L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Speed of finger tapping and goal attainment after unilateral cerebral vascular accident</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>1997-08-01</date><risdate>1997</risdate><volume>78</volume><issue>8</issue><spage>847</spage><epage>852</epage><pages>847-852</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Objective: To determine (1) if speed of finger tapping is bilaterally slow after an acute unilateral cerebral vascular accident (CVA) and (2) if speed of finger tapping and grip strength are related to achieving rehabilitation goals during the first few weeks after stroke.
Design: Prospective inception cohort study.
Study Setting: Medical center and neurological institute.
Participants: Fifty-one patients with unilateral CVAs.
Main Outcome Measures: Documentation of goal attainment at discharge and bilateral measures of speed of finger tapping and grip strength.
Results: Speed of finger tapping and grip strength were often bilaterally below normal limits after an acute unilateral CVA, with the contralateral hand most affected. Speed of finger tapping, but not grip strength, in the ipsilateral hand was associated with achieving rehabilitation goals. Speed of finger tapping in the contralateral hand as well as bilateral grip strength was not related to achievement of rehabilitation goals.
Conclusions: Motor findings suggest that bilateral cerebral dysfunction may be common after an acute unilateral CVA. The speed of finger movement in the hand ipsilateral to the lesion may reflect the degree to which the so-called “unaffected” cerebral hemisphere has in fact maintained its functional integrity. As such, it may be a useful behavioral marker for predicting goal attainment during early stages of neurorehabilitation.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9344304</pmid><doi>10.1016/S0003-9993(97)90198-2</doi><tpages>6</tpages></addata></record> |
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| ispartof | Archives of physical medicine and rehabilitation, 1997-08, Vol.78 (8), p.847-852 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Acute Disease Aged Biological and medical sciences Cerebrovascular Disorders - diagnostic imaging Cerebrovascular Disorders - physiopathology Cerebrovascular Disorders - psychology Cerebrovascular Disorders - rehabilitation Convalescence - psychology Female Fingers - physiopathology Geriatric Assessment Goals Hand Strength Humans Male Medical sciences Neurology Predictive Value of Tests Prospective Studies Psychomotor Performance Time Factors Tomography, X-Ray Computed Vascular diseases and vascular malformations of the nervous system |
| title | Speed of finger tapping and goal attainment after unilateral cerebral vascular accident |
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