Secondary data analysis of upper limb motor deficit proportion and the relation with hand dominance in individuals with stroke
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Abstract
Background: Only a few numbers of studies assessed upper limb motor deficit in the proximal and distal part and the relationship between the degree of motor deficit post-stroke and hand dominance is also scarce.
Objective: To study the ratio of upper limb motor deficit in patients with stroke and the relationship between the degree of motor deficit and hand dominance.
Methods: Secondary data analysis of physical therapy records. The data of patients with stroke who attended a physical therapy center in Thailand between 2017 to 2019 were accessed including general information, stroke onset, and upper limb motor subscale score of the Fugl
Meyer Assessment (FMA UE). The FMA UE score was further divided into 3 subgroups according to the severity (mild, moderate, and severe) as well as the motor deficit in the proximal and distal part of the upper limb. The ratio and odds ratio were analyzed.
Results: Complete data were taken from 176 patients with stroke. Most patients were categorized as severe motor deficit (45.5%), with the deficit in both proximal and distal parts (58.5%), and weakness on their dominant hand (54.3%). The distal part was more severe than the proximal part. The odds ratio for the dominant side weakness and the degree of motor deficit was 2.1 (95% CI = 1.1, 3.8).
Conclusion: Most patients with stroke presented with severe upper limb motor deficit and affected both proximal and distal parts, yet more severe motor deficit in the distal part. Weakness on the dominant hand was correlated with motor deficit.
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