Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2013     Vol 38     No 3
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      UDK 616.831-005.1-036.82

ISSN 035-2899, 38(2013) br.3 p.119-124

Original paper

Laterality of lesion as a factor of functional recovery of patients after
the first-ever unilateral stroke

(Lateralizacija lezije kao faktor funkcionalnog oporavka bolesnika sa prvim unilateralnim moždanim udarom)

Sanja Drača




  Download in pdf format   Summary:
Objective: this prospective study evaluates the effects of stroke lateralization-related differences on functional recovery after the first-ever hemispheric stroke. Materials and methods: The total of eighty right-handed patients (20-80 years of age) were enrolled prospectively. These individuals were in the subacute phase of their first, single unilateral stroke. Forty (50 %) patients had a stroke in the left hemisphere, and forty (50 %) patients had a stroke in the right hemisphere of the cerebrum. The degree of neurological deficit was quantified by the National Institutes of Health Stroke Scale. 59 patients (74%) had cerebral ischemia and 21 (26%) had an intracerebral hemorrhage. Functional outcome was assessed by the Motor Status Scale, Chedoke Arm and Hand Activity Inventory, Rivermead Mobility Index and Barthel Index. Results: at the time of hospital admission there was no significant difference in clinical stroke severity between patients with right- or left-sided stroke. At discharge from rehabilitation, there was no significant difference in motor and functional recovery between patients with lesion in the right hemisphere or in the left hemisphere. However, we registered significant (p<0.01) advantage in motor and functional recovery of paretic arm and independence in activities in daily living, as well as a significant (p<0.05) advantage in mobility, in patients with lesion in the cortex of dominant left hemisphere compared to patients with lesion in cortex of subdominant right hemisphere. Conclusion: Our paper emphasizes the association of laterality of cerebral lesion with the post-stroke functional recovery.
Keywords: lateralization, stroke, functional recovery

Napomena: kompletan tekst rada na srpskom jeziku
Note: full text in Serbian
      Corresponding Address:
Sanja Drača,
Visoka škola strukovnih studija,
Ul. Ćirila i Metodija 22-24,
37000 Kruševac; Srbija;
Paper received: 27. 7. 2013
Paper accepted: 16. 9. 2013
Paper Internet issues: 30.12.2013
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Timočki medicinski glasnik, Zdravstveni centar Zaječar
Journal of Regional section of Serbian medical association in Zajecar
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