Beg Rashid Ali, Shaphe Mohammad Abu, Qasheesh Mohammed, Ahmad Fuzail, Anwer Shahnawaz, Alghadir Ahmad H
Department of Physical Therapy, Jazan University, Jazan, Saudi Arabia.
Department of Physical Therapy & Health Rehabilitation, College of Applied Medical Science, Majmaah University, Majmaah, Saudi Arabia.
J Multidiscip Healthc. 2021 Apr 30;14:1007-1016. doi: 10.2147/JMDH.S298991. eCollection 2021.
This study aimed to evaluate the intermanual transfer effects of dominant hand training on the functional task of the untrained hand.
Fifty community-dwelling healthy adults (mean age, 23.4 ± 2.5 Y; females, 60%) were participated. Participants in the experimental group received 15 minutes of right-hand training on a pegboard apparatus twice a week for four weeks. The control group received no training. The Jebsen Taylor test (JTT) and a 16-hole pegboard test were used for the assessment of hand function and dexterity.
Most of the JTT subtests except the writing and simulated feeding subtests and the performance of pegboard task by untrained hand were significantly improved in the experimental group after 4 weeks of training. However, no changes in the untrained hand function after 4 weeks in the control group. There were no significant differences in the pegboard task and JTT subtests found at baseline between the two groups. There were significant differences in the pegboard task between the two groups after dominant hand training. The experimental group took 4.3- and 2.5-second lesser time to complete the pegboard task using the dominant and non-dominant hand, respectively. Similarly, most of the JTT subtests except the writing and simulated feeding subtests were significantly better in the training group than the control group.
This study indicates that the function of the untrained non-dominant hand may be improved after functional training of the dominant hand. Since this study included only healthy young adults, results of this study cannot be generalized to other groups of people such as the elderly. While this study suggests that intermanual transfer could have a therapeutic value in many clinical situations, more longitudinal studies are warranted to examine the intermanual transfer effects of functional gain in different clinical conditions, such as stroke, parkinsonism, rheumatoid arthritis, and so on.
本研究旨在评估优势手训练对未训练手功能任务的双侧迁移效应。
招募了50名社区居住的健康成年人(平均年龄23.4±2.5岁;女性占60%)。实验组参与者每周两次在钉板装置上进行15分钟的右手训练,共四周。对照组不接受训练。使用杰布森·泰勒测试(JTT)和16孔钉板测试来评估手部功能和灵活性。
训练4周后,实验组中除书写和模拟喂食子测试外的大多数JTT子测试以及未训练手的钉板任务表现均有显著改善。然而,对照组在4周后未训练手的功能没有变化。两组在基线时的钉板任务和JTT子测试中没有显著差异。优势手训练后,两组在钉板任务上存在显著差异。实验组使用优势手和非优势手完成钉板任务的时间分别减少了4.3秒和2.5秒。同样,除书写和模拟喂食子测试外,训练组的大多数JTT子测试均显著优于对照组。
本研究表明,优势手进行功能训练后,未训练的非优势手的功能可能会得到改善。由于本研究仅纳入了健康的年轻人,因此本研究结果不能推广到其他人群,如老年人。虽然本研究表明双侧迁移在许多临床情况下可能具有治疗价值,但仍需要更多的纵向研究来考察在不同临床状况(如中风、帕金森病、类风湿性关节炎等)下功能改善的双侧迁移效应。