The role of lateralization in the functional outcome of patients after middle cerebral artery stroke

Abstract

Event Abstract Back to Event The role of lateralization in the functional outcome of patients after middle cerebral artery stroke Sanja Draca1*, Aleksandra Stefanovic1, Aleksandra Dragin1, Biljana Ljesevic1 and Dalibor Paspalj1 1 Clinic "Dr M.Zotovic", Russia Objective: To test the influence of lateralization (right vs. left hemisphere lesion) to the motor and behavioral sequels in patients after middle cerebral artery (MCA) territory infarct. Materials and methods: This study included a total of 31 patients with chronic stroke (1 year post stroke) of MCA origin, aged 54-78 years. The study included the patients with right MCA infarction (14 patients), or left MCA infarction (17 patients). All patients were treated with conventional physical and occupational therapy during 2 months following stroke. Measures: Upper extremity (UE) spasticity was assessed by the Modified Ascworth Scale (MAS), UE motor functions by the Fugl-Meyer Motor Impairment Scale (FMA)-upper extremity portion, and the performance of the paretic arm in the of activities of daily living by the Chedoke Arm and Hand Activity Inventory (CAHAI). The Beck Depression Inventory (BDI)-II was used as a screening instrument for depression. Results: No significant difference was found for MAS score (2, 3 vs. 2, 1), FM score (20, 9 vs. 27, 8), as well as the CAHAI score (43, 3 vs. 49, 6) between patients with right vs. left MCA infarction. Nevertheless, the patients with left hemisphere lesion had a significantly increased BDI-II scores compared to patients with right hemisphere lesion (8, 7 vs. 16, 2, p < 0, 05). Conclusion: These results indicate that UE motor recovery did not differ between patients with right or left MAC infarction. However, an increased rate of PSD in patients with left hemisphere lesion (both cortical and subcortical) compared to patients with right hemisphere lesion, indicates a need for depressive symptoms screening in stroke patients. Conference: 41st European Brain and Behaviour Society Meeting, Rhodes Island, Greece, 13 Sep - 18 Sep, 2009. Presentation Type: Poster Presentation Topic: Poster presentations Citation: Draca S, Stefanovic A, Dragin A, Ljesevic B and Paspalj D (2009). The role of lateralization in the functional outcome of patients after middle cerebral artery stroke. Conference Abstract: 41st European Brain and Behaviour Society Meeting. doi: 10.3389/conf.neuro.08.2009.09.137 Copyright: The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers. They are made available through the Frontiers publishing platform as a service to conference organizers and presenters. The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated. Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed. For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions. Received: 09 Jun 2009; Published Online: 09 Jun 2009. * Correspondence: Sanja Draca, Clinic "Dr M.Zotovic", Belgrade, Russia, odracha@EUnet.rs Login Required This action requires you to be registered with Frontiers and logged in. To register or login click here. Abstract Info Abstract The Authors in Frontiers Sanja Draca Aleksandra Stefanovic Aleksandra Dragin Biljana Ljesevic Dalibor Paspalj Google Sanja Draca Aleksandra Stefanovic Aleksandra Dragin Biljana Ljesevic Dalibor Paspalj Google Scholar Sanja Draca Aleksandra Stefanovic Aleksandra Dragin Biljana Ljesevic Dalibor Paspalj PubMed Sanja Draca Aleksandra Stefanovic Aleksandra Dragin Biljana Ljesevic Dalibor Paspalj Related Article in Frontiers Google Scholar PubMed Abstract Close Back to top Javascript is disabled. Please enable Javascript in your browser settings in order to see all the content on this page.