學院

醫學院

系所

職能治療學系

題名

A preliminary exploratory factor analysis of a handedness inventroy

作者

吳菁宜 ( WU CHING-YI ) ; 林克忠 ( LIN KEH-CHUNG )

期刊名稱

STROKE(SCI 期刊) v.32 n.1 pp.70-76

發表日期

2001

著作性質

研究簡報(含LETTER, SHORT COMMUNIT, PROCEEDINGS)

語文

英文

關鍵字

hemplegia motor activity neglect rehabilitation

系統號

00010387

摘要

Current theories of motor control in rehabilitation focus on how the nervous system responds to many types of externasl and internal constraints to execute motor behavior to accomplish a task. However, the dynamic interplay between these 2 constraints remains unclear. This study examined the impact of some aspects of internal and ejternal constrains on motor performance in persons with stroke. Twenty-seven persons with stroke used the uninvolved arms to perform an upper-extermity reaching task under 4 experimental conditions, formed by the crossing of functional goals and personal preferences. For the higher level of a functional goal, subjects took a drink from a can of beverage. For the lower level of a functional goal, subjects brought the can to the mouth without drinking. The level of personal preferences was determined, by interview, by the degree of predilection for particular beverages. Significant and large effects of functional goals and personal preference were found in the variables of movement time and reaction time. However, the data trend of the 4 testing conditions varied according to presence of visuospatial neglect and site of lesion. Offering choices for the treatment activities and incorporating functional goals to therapeutic tasks might enhance response rate or movement efficiency, depending on the side of the lesion and presence of visuospatial neglect. The findings suggest that the consideration of the neglect phenomenon is a necessity when rehabilitative treatment planning incorporates constraint factors.