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The probability of choosing both hands depends on an interaction between motor capacity and limb-specific control in chronic stroke.


ABSTRACT: A goal of rehabilitation after stroke is to promote pre-stroke levels of arm use for every day, frequently bimanual, functional activities. We reasoned that, after a stroke, the choice to use one or both hands for bimanual tasks might depend not only on residual motor capacity, but also the specialized demands imposed by the task on the paretic hand. To capture spontaneous, task-specific choices, we covertly observed 50 pre-stroke right-handed chronic stroke survivors (25 each of left, LHD, and right-hemisphere damage, RHD) and 11 age-similar control adults and recorded their hand use strategies for two pairs of bimanual tasks with distinct demands: one with greater precision requirements (photo-album tasks), and another with greater stabilization requirements (letter-envelope tasks). The

SUBMITTER: Varghese R 

PROVIDER: S-EPMC7554092 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature