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© 1996 Oxford University Press

research-article

The Good Side after Stroke: Ipsilateral Sensory-motor Function needs Careful Assessment

JONATHAN J. BASKETT, H. JANE MARSHALL, JOANNA B. BROAD, PAUL H. OWEN and GEOFF GREEN

Section of Geriatric Medicine, Department of Medicine, School of Medicine Auckland, New Zealand

*Address correspondence to Dr J. J. Basket*, University Geriatric Unit, North Shore Hospital, Private Bag 93–503, Takapuna, Auckland 9, New Zealand

Twenty subjects were examined 4–6 weeks after stroke to establish whether a sensory-motor ipsilateral deficit occurs early after stroke. Each underwent a timed test of repetitive side-to-side movement of both the upper and lower limbs ipsilateral to the cerebral infarct, and an assessment of motor disability using the Motor Assessment Scale. Results were compared with a group studied almost a year after their stroke, and with 41 age-matched healthy volunteers.

There was a significantly worse performance (p < 0.005) on the right ipsilateral side, but not the left ipsilateral side, compared with normal volunteers, a finding similar to that of a group previously studied about a year after the stroke. There was no relationship between the severity of the motor deficit and performance of the ‘good’ side. This study suggests that ipsilateral sensory-motor deficit occurs after stroke but only on the right side, possibly owing to reduction in cerebral activation as a result of a right hemispheric lesion.

These observations have importance in rehabilitation and education as well as practical skills, including driving a car and maintaining balance.

Revision received November 13, 1995.
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This article has been cited by other articles:


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Y. Laufer, L. Gattenio, E. Parnas, D. Sinai, Y. Sorek, and R. Dickstein
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