Abstract

BackgroundTraining a non-dominant hand is important for rehabilitating people who are required to change handedness. However, improving the dexterity in using chopsticks with a non-dominant hand through training remains unclear. This study is aimed to measure whether chopstick training improves non-dominant hand chopstick operation skills and leads to acquisition of skill levels similar to those of the dominant hand.MethodsThis single-blinded randomized controlled trial enrolled 34 healthy young right-handed subjects who scored >70 points on the Edinburgh Handedness Questionnaire Inventory. They were randomly allocated to training or control groups. The training group participated in a 6-week chopstick training program with the non-dominant left hand, while the control group did not. Asymmetry of chopstick operation skill, perceived psychological stress, and oxygen-hemoglobin concentration as a brain activity measure in each hemisphere were measured before and after training.ResultsParticipants in the training group had significantly lower asymmetry than those in the control group during the post-training assessment (F[1,30] ≥ 5.54, p ≤ 0.03, partial η 2 ≥ 0.156). Only perceived psychological stress had a significantly higher asymmetry during the post-training assessment (t[15] = 3.81, p < 0.01).ConclusionSix weeks of chopstick training improved non-dominant chopstick operation skills, and a performance level similar to that of the dominant hand was acquired.

Highlights

  • The utilization of chopsticks requires handedness-specific and complex and fine motor skills

  • We have previously reported on training-derived changes in brain activity using the non-dominant left hand [12]

  • Task completion time of the training group (−4.87 ± 25.12) was significantly lower than that of the control group (29.83 ± 35.48) during the post-training assessment (t[30] = −3.14, p < 0.001), indicating an increased speed of execution of object transfer with the non-dominant hand chopstick operation that approached the speed of the dominant hand

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Summary

Introduction

The utilization of chopsticks requires handedness-specific and complex and fine motor skills. The dominant hand has better performance speed of manual dexterity [3,4,5], accuracy, and variability of reach movements than the non-dominant hand [6,7]. These motor functions enable the skillful use of chopsticks. It has been reported that long-term repetitive training is necessary to improve these motor functions and the tool-use skills based on these motor functions [8]. Long-term repetitive training may be needed for the non-dominant hand so that it is able to reach a performance level similar to that of the dominant hand

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